Q: All of the following are associated with inflammatory abdominal aortic aneurysm (AAA) EXCEPT?
A) chronic abdominal pain
B) weight loss
C) elevated ESR
D) Increased incidence of rupture
If following triad is present with AAA, it highly suggests inflammatory AAA
- chronic abdominal pain
- weight loss
- elevated ESR
There is an interesting paradox in inflammatory AAA. Although there are more chances to be symptomatic when compared to the same size non-inflammatory AAA, the chance of actual rupture is low.
Said that, all symptomatic AAA require repair irrespective of size.
References:1. Tang T, Boyle JR, Dixon AK, Varty K. Inflammatory abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2005 Apr;29(4):353-62. doi: 10.1016/j.ejvs.2004.12.009. PMID: 15749035.