Resumo

SILVA, Miguel Tadeu Reis e. Low back pain: a rare differential diagnosis. Arq Med [online]. 2015, vol.29, n.2, pp.36-38. ISSN 2183-2447.

We present a case of a patient admited in an Internal Medicine ward with the main diagnosis of an acute bronchitis and heart failure. At the observation, the patient referred pain to the L1-L4 area, that wasn’t relieved by rest, a negative renal Murphy and a negative bilateral Lasègue. During the review of the lumbar radiographs, it was detected a sacular figure of calcified borders, before the L3-L4 vertebrae. By the concomitante presence of a pulsatile abdómen and a decrease of the peripheric pulse in the inferior members, the medical team ordered an AngioCT to despite a possible Abdominal aortic aneurysm(AAA) . The exam confirmed a bulky AAA that impaired the arterial flux to the left renal artery.

Palavras-chave : Low back pain; aneurysm.

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