10. Abdominal Bruising – A Rare but Serious AAA Symptom
In very rare cases, individuals with an AAA may notice bruising on their abdomen. This can occur if blood leaks from the aneurysm into the surrounding tissues, causing discoloration and tenderness. Abdominal bruising may be a sign of an impending rupture or an already ruptured aneurysm, both of which require immediate medical attention.
Abdominal Bruising can be one of the first signs of AAA, but it is not commonly recognized or diagnosed in its early stages. The bruise is usually located in the lower abdomen and may be accompanied by pain and discomfort. In some cases, the bruising may be accompanied by other symptoms such as a pulsating sensation in the abdomen, back pain, and feeling weak or lightheaded.
The cause of abdominal bruising in AAA is due to the pressure of the expanding aneurysm on the surrounding tissue and organs. As the aneurysm grows, it puts pressure on the blood vessels and nerves in the area, causing them to become damaged. This can result in bleeding, bruising, and pain.
Diagnosis of AAA is usually done through imaging tests such as ultrasound, CT scan, or MRI. These tests can help to confirm the presence of an aneurysm and determine its size and location. If an aneurysm is suspected, a doctor may also perform a physical examination to check for signs of abdominal bruising.
Treatment for AAA depends on the size and location of the aneurysm, as well as the overall health of the patient. In some cases, medication and lifestyle changes may be recommended to help manage the symptoms and prevent the aneurysm from growing. However, if the aneurysm is large or has the potential to rupture, surgery may be necessary to repair or remove the affected section of the aorta.
Surgery for AAA can be done through either open surgery or endovascular repair. Open surgery involves making a large incision in the abdomen to access the aorta and repair or replace the damaged section. Endovascular repair is a minimally invasive procedure that uses a catheter to access the aneurysm through a small incision in the groin. This procedure is less invasive and has a quicker recovery time compared to open surgery.
Regardless of the treatment option chosen, it is important for patients to closely monitor their symptoms and seek medical attention if they experience any changes or worsening of their condition. Regular follow-up appointments with a doctor are also recommended to monitor the progress of the aneurysm and ensure it does not grow or rupture.
Abdominal bruising is a rare but serious symptom of AAA. If you notice unexplained abdominal bruising, especially when accompanied by other AAA symptoms, seek emergency care. Rapid evaluation and intervention can significantly improve the chances of survival and prevent further complications. (10)
