Last reviewed: September 2018
Last updated: June  2018

Summary

Definition

History and exam

Key diagnostic factors

  • palpable pulsatile abdominal mass

Other diagnostic factors

  • abdominal, back, or groin pain
  • hypotension

Risk factors

  • cigarette smoking
  • hereditary/family history
  • increased age
  • male gender (prevalence)
  • female gender (rupture)
  • congenital/connective tissue disorders
  • hyperlipidemia
  • COPD
  • atherosclerosis (i.e., coronary artery disease [CAD], peripheral arterial occlusive disease)
  • hypertension
  • increased height
  • central obesity
  • nondiabetic

Diagnostic investigations

Investigations to consider

  • ESR/CRP
  • CBC
  • blood cultures
  • computed tomography angiography (CTA)/CT
  • magnetic resonance angiography (MRA)/MRI
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Professor of Vascular Surgery

Department of Cardiovascular Sciences

University of Leicester, Leicester Royal Infirmary

Leicester

UK

Disclosures

MJB has grant funding from the British Heart Foundation and the National Institute for Health Research.

Honorary Research Fellow

Department of Cardiovascular Sciences

University of Leicester

Leicester

UK

Disclosures

AD declares that he has no competing interests.

Professor Matt Bown and Mr Andrew Duncan would like to gratefully acknowledge Dr Maureen K. Sheehan, Dr Dawn M. Barnes, and Dr Gilbert R. Upchurch, previous contributors to this monograph.

Peer reviewers VIEW ALL

Professor of Vascular Surgery

Vascular Surgery Group

Division of Cardiovascular Sciences

Leicester Royal Infirmary

UK

Disclosures

RN declares that he has no competing interests.

Chief of Division of Vascular Surgery

Department of Surgery

Northwestern Memorial Hospital

Chicago

IL

Disclosures

WP declares that he has no competing interests.

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