Clinical Features: A 56-year-old male patient presented with pain and spasm in his lower back. Plain film radiographs revealed loss of
the normal lumbar lordosis with mild degenerative spondylosis of the lumbar spine. Also noted was the presence of a large calcific abdominal aortic aneurysm measuring approximately
6 cm, along with calcification of the common iliac arteries.
Intervention and Outcome: Successful endovascular repair of the patient’s abdominal aortic aneurysm and conservative chiropractic
management provided resolution of his lowerback pain and prevented a possible hemorrhagic event.
Conclusion: We discuss in this case study the importance of accurate clinical diagnosis of abdominal aortic aneurysm, appropriate referral
to a surgeon, medically necessary comanagement with a chiropractic intervention, and the resolution of a painful lower-back disorder.
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