A ruptured mycotic aortic aneurysm in a patient with urinary retention: A case report.

Publication/Presentation Date

5-1-2022

Abstract

Symptomatic abdominal aortic aneurysm (AAA) is a diagnosis that is a true emergency. Since AAAs are typically asymptomatic prior to rupturing, they can easily be missed. When an abdominal aortic aneurysm becomes symptomatic and ruptures, the ramifications can be catastrophic for the patient. We present a case of a 55-year-old male who presented with urinary retention and suprapubic pain. Computerized tomography demonstrated a rapidly expanding AAA and signs of impending rupture. Emergent vascular surgical repair was performed successfully. There was concern for mycotic nature of the AAA with recent COVID-19 infection and possible bacteremia. This case demonstrates the need for maintaining a wider differential when examining patients and avoiding anchoring bias and serves as a point of discussion for potential complications of COVID-19 infection.

Volume

17

Issue

5

First Page

1362

Last Page

1365

ISSN

1930-0433

Disciplines

Cardiology | Emergency Medicine | Medicine and Health Sciences

PubMedID

35251419

Department(s)

Department of Emergency Medicine, Cardiology Division

Document Type

Article

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