A importância do rastreio do aneurisma da aorta abdominal: a propósito de um caso clínico

Autores

DOI:

https://doi.org/10.32385/rpmgf.v38i2.12972

Palavras-chave:

Aneurisma da aorta, Abdominal, Rastreio populacional, Sintomas do trato urinário inferior

Resumo

Introdução: O aneurisma da aorta abdominal é mais comum em homens com idade ≥ 65 anos e com hábitos tabágicos. A principal complicação é a rutura, que apresenta uma elevada taxa de mortalidade.

Descrição do caso: Este caso clínico incide sobre um homem de 75 anos, ex-fumador, com hipertrofia benigna prostática, que recorreu a consulta programada com recorrência de queixas urinárias baixas. A ecografia vesicoprostática por via suprapúbica solicitada objetivou um aneurisma da aorta abdominal com cerca de 16cm de extensão e 11cm de calibre antero-posterior. O doente foi encaminhado ao serviço de urgência, tendo ficado internado e posteriormente foi submetido a correção cirúrgica deste aneurisma.

Comentário: Este caso reflete a importância da identificação precoce desta patologia em homens com idade ≥ 65 anos através da implementação de um programa de rastreio ecográfico, ainda não implementado em Portugal, mas já recomendado por várias guidelines. Sintomas urinários baixos poderão ser uma apresentação deste aneurisma.

Referências

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Publicado

2022-04-29

Como Citar

Teles, J. M., Pinto, N. T., & Sousa, H. (2022). A importância do rastreio do aneurisma da aorta abdominal: a propósito de um caso clínico. Revista Portuguesa De Medicina Geral E Familiar, 38(2), 193–7. https://doi.org/10.32385/rpmgf.v38i2.12972

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