I am a 25 year old male in decent health, however I have noticed visible pulsations in my abdomen when lying on my back for at least a year now and it may have been present for even longer. I have no significant medical history with no high blood pressure, and have normal cholesterol and do not have a family history of aneurysms or heart disease. I also do not smoke and am not significantly overweight with a BMI of 26. I am wondering whether this pulsating is a sign of an abdominal aortic aneurysm or is this normal for a young male?
The diagnosis of abdominal aortic aneurysm (AAA) usually does not present with symptoms. It is most often found incidentally on imaging a patient for some other reason (i.e. CT scan of the abdomen). Symptoms usually occur when they rupture, then they may cause abdominal pain, low blood pressure, passing out (syncope), sudden collapse and sometimes constipation or urinary retention (not being able to urinate).
The presence of a palpable (able to feel) pulsatile mass in asymptomatic patients is highly specific and can predict AAA. If I palpated one in a patient I would DEFINITELY image their aorta with an ultrasound or CT scan regardless of age or risk factors.
Sometimes a normal aorta can appear pulsatile if they have a prominent pulsation or very little fat. Also, lymph nodes may adhere to the aorta and transmit the aorta’s pulsation
I would strongly advise any patient worried about a pulsatile mass in the aorta to see their physician immediately for a physical exam and allow their physician to determine if imaging of their aorta with an ultrasound or CT scan is indicated.
Thank you for your response. I just have one more question. There is no distinct pulsatile mass that I am feeling rather pulsation all up and down the abdominal portion of the aorta that is visible all across my abdomen. Does this point more toward just having a prominent pulsation rather than a AAA since there is no distinct mass that is felt?
I am planning on calling my doctor on Monday to set an appointment but some information prior to seeing him would be greatly appreciated.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.