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Abdominal aortic aneurysm (AAA) is a localized enlargement of the abdominal aorta such that the diameter is greater than 3 cm or more than 50% larger than normal. [1] An AAA usually causes no symptoms, except during rupture. [1]
Rupture may be the first sign of AAA. Once an aneurysm has ruptured, it presents with classic symptoms of abdominal pain which is severe, constant, and radiating to the back. [8] The diagnosis of an abdominal aortic aneurysm can be confirmed by the use of ultrasound. Rupture may be indicated by the presence of free fluid in the abdomen.
Aortic rupture is the breakage of all walls of the aorta, the largest artery in the body. Aortic rupture is a rare, extremely dangerous condition that is considered a medical emergency . [ 1 ] The most common cause is an abdominal aortic aneurysm that has ruptured spontaneously.
The blue scrotum sign of Bryant, also known as Bryant's blue sign, is bruising of the scrotum, typically associated with a ruptured abdominal aortic aneurysm (AAA). [1] It generally appears three or four days after first experiencing pain, though may occur hours after and sometimes weeks after the rupture. [1]
In fact, aortic disruption due to blunt chest trauma is the second leading cause of injury death behind traumatic brain injury. [3] [4] Aortic rupture can also be caused by non-traumatic mechanisms, particularly abdominal aortic aneurysm rupture.
Lucille Ball died from an aortic rupture in the abdominal area days after having undergone apparently successful heart surgery for a dissecting aortic aneurysm. [61] [62] [63] Laura Branigan died of a cerebral aneurysm. David Cone had an aneurysm and missed most of the 1996 baseball season.
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