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June 1982

Ruptured Aortic Aneurysm Seen Initially as Acute Femoral Neuropathy

Author Affiliations

From the Department of Surgery, University of Nevada School of Medicine (Drs Merchant, Cafferata, and DePalma), and the Veterans Administration Hospital, Reno (Dr Merchant).

Arch Surg. 1982;117(6):811-813. doi:10.1001/archsurg.1982.01380300051012

• Acute femoral neuropathy and thigh ecchymosis signaled the presence of a previously unsuspected aortic aneurysm. This diagnosis was confirmed by immediate sonography and angiography and a ruptured aneurysm was corrected surgically. A small hemorrhage into the iliopsoas fascial space may cause acute peripheral neuropathy. In patients with arteriosclerotic risk factors, this symptom should alert the physician to the need for immediate diagnosis and correction of aneurysmal rupture.

(Arch Surg 1982;117:811-813)

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