Unusual Presentations of AAA

Many unusual presentations of AAA have been reported in the literature and include:

• Musculoskeletal complaints (thigh or groin pain)
• Bilateral testicular pain
• Unexplained inguinal pain-VERY well described
• Femoral neuropathy
• Abdominal pain and urge to deficate (and, NO, I am not making that one up)

One more note on the whole urge to deficate thing: any thing that leads to hemoperitoneum may cause this strange complaint (ruptured AAA, ruptured ectopic pregnancy).