A Case Report of Abdominal Aortic Aneurysm presenting as an Inguinal Mass

Abdominal Aortic Aneurysms (AAA) is mostly asymptomatic and often detected incidentally. The incidence of AAA and inguinal hernia increases by aging. In rare cases, several pathologies can mimic an inguinal hernia. Expanding AAA can present as the symptom of an inguinal hernia. Also, it can aggregate a stable hernia. In this case, an AAA mimicked an inguinal hernia. The patient of this study is a 67-year-old Iranian man presented with a 3 days history of periumbilical and hypogastric pain and anorexia. On examination tenderness in the right upper quadrant of the abdomen and a 5 × 6 cm mass in the right abdominal region were noted. Ultrasonography incidentally revealed a 7 cm AAA. A Computed Tomography Angiography (CTA) confirmed the diagnosis. The patient underwent an elective AAA surgery. After the surgery, the patient's signs and symptoms were relieved.