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Case Reports
Lower limb myalgias in a man who used to "climb the stairs": an atypical abdominal aortic aneurysm.
- Giuseppina Patrizia Dognini, Gianluca Cadeo, Luigi Dolcino, Lodovico Gilardoni, Enrico Stringhi, and Franco Forloni.
- Medical Department, Treviglio Hospital (BG), Italy. Giuseppina_dognini@ospedale
- Am J Emerg Med. 2012 Jul 1;30(6):1013.e5-7.
AbstractAtypical presentation of emergency abdominal aortic aneurysm comprises a wide spectrum of symptoms. Lower limbs' involvement is infrequent, usually monolateral and with clear vascular features. We report the case of a 58-year-old patient who complained exclusively about symmetric lower limb myalgias without vascular features, after having repeatedly climbed the stairs of the school he worked in. The surprising final diagnosis was of rupturing abdominal aortic aneurysm; the patient was sent to emergency surgery and survived.
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