Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 20172
  Title Abdominal aortic aneurysm (AAA): evaluation and management by a doctor of chiropractic [case report]
URL http://www.acatoday.org/JacaDisplay1.cfm?CID=2925
Journal JACA Online. 2008 May-Jun;45(4):Online access only p 12-18
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes Objective: To discuss the diagnosis, treatment, and co-management of a patient who presented in a chiropractic office with with posttraumatic lower-back painlower-back pain and an incidental finding of an abdominal aortic aneurysm (AAA).

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.

This abstract is reproduced with permission of the publisher. Full text is available by subscription.

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