Rupture of aneurysm

This is a real surgical emergency in an elderly person who presents with acute abdominal and perhaps back pain with associated circulatory collapse (Fig 30.8). The patient often collapses at toilet because they feel the need to defecate and the resultant Valsalva manoeuvre causes circulatory embarrassment.

The patient should be transferred immediately to a vascular surgical unit, which should be notified in advance. Two important emergency measures for the 'shocked' patient are intravenous access for plasma expanding fluid (a central venous line is best if possible) and the application of a MAST suit.

inters pair-pale and '5hocked" t back pair

pYjIsaUle mass

Fig. 30.8 Typical pain distribution of a ruptured aortic abdominal aneurysm

Back Pain Relief

Back Pain Relief

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