ABDOMINAL AORTIC ANEURYSM

Clinical presentation

(Abdominal pain without back pain is rarely leaking AAA)

N.B. beware of > 50 y.o with 'renal colic'

Investigation

N.B. ultrasound confirms aneurysm but not leakage

N.B. Urgent CT mandated even after hours

Management

Resuscitation

Immediate laparotomy

Operative Mortality

Asymptomatic non-leaking AAA (10%)
Symptomatic non-leaking AAA (23%)
Ruptured AAA (90%)

Adapted from Memo 9/4/02 by Dr Ian Spark (TQEH Vascular Consultant)