Bloated

A 71 year old man presents with persistent lower back pain for one and a half months. The pain is dull and aching in nature and does not radiate. There is no history of recent trauma.

His co-morbidities are well controlled hypertension for 15 years and ischemic heart disease for which coronary artery bypass grafting was performed 10 years ago.

A full blood count and urinalysis are found to be normal.

Select Relevant Investigations
X-Ray lumbo-sacral spine

Performed

The x-ray appears normal
Ultrasound abdomen

Performed

The ultrasound scan shows a dilated infra-renal abdominal aorta with a maximum diameter of approximately 5.7cm.
Bone scintigraphy

Performed

The bone scan appears normal.
Autoimmune screen

Performed

ANA - negative
ds-DNA - negative
ENA - negative
Rheumatoid factor - negative

Select Relevant Management
Anticoagulation
Antibiotics
Aneurysm repair
Chemotherapy