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Journal of Case Reports
Ruptured Abdominal Aortic Aneurysm Misdiagnosed as Acute Appendicitis

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Hassan Adnan Bukhari, Mohammad Amin Mirza 
Department of Surgery, Umm Al-Qura University, Makkah, Saudi Arabia.
Corresponding Author:
Dr. Hassan Adnan Bukhari
Email: drhb2000@yahoo.com
Received: 15-FEB-2017 Accepted: 21-JUN-2017 Published Online: 05-AUG-2017
DOI: http://dx.doi.org/10.17659/01.2017.0074
Abstract
Background: Ruptured abdominal aortic aneurysm is a serious life-threatening condition, which is usually prevalent in old age group. Unusual presentation in young patient is very difficult to diagnose and necessitates high index of suspicion. Any deviation from the normal presentation of acute appendicitis mandates further investigation. Case Report: This case report presents a very rare cause of abdominal pain in young patient that mimic acute appendicitis. The patient had abdominal CT scan, which revealed extensive abdominal aortic aneurysm with impending rupture. He was immediately transferred to tertiary hospital to be evaluated and managed by vascular surgeon. Emergent surgery was performed with uneventful recovery. Conclusion: Acute appendicitis is the most common cause of abdominal pain in young patient. However, treating surgeon should have high index of suspicious for any other causes the mimic acute appendicitis and could carry very high morbidity and mortality if not diagnosed early.
Keywords : Appendicitis, Aortic Aneurysm, Abdominal Pain, Vascular Surgical Procedures.
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