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Ruptured Abdominal Aortic Aneurysm Masquerading as Acute Appendicitis

Year: 2025

Type: article

Abstract: Ruptured abdominal aortic aneurysm (AAA) is a life-threatening emergency with high mortality. Its presentation is often atypical and may mimic more common abdominal conditions. We report the case of a 65-year-old man who presented with acute right lower quadrant pain initially suggestive of acute appendicitis. However, computed tomography (CT) revealed a large infrarenal AAA with a contained rupture. This atypical presentation highlights the importance of including AAA in the differential diagnosis of elderly patients with abdominal pain. Early imaging, particularly CT, is essential to differentiate AAA from other causes of acute abdomen and to prevent diagnostic delays. Maintaining a high index of suspicion is critical for timely recognition and improved outcomes.

Source: Cureus

DOI: 10.7759/cureus.95582

Authors: Dimitrios A Chatzelas, Stefanos K Atmatzidis, Maria D Velikoudi, Vasileios Papaziogas

Institution: Aristotle University of Thessaloniki

Language: English

Topic: Aortic aneurysm repair treatments

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4415616464