Aim: The purpose of this study is to describe abdominal aortic aneurysm in a 27-year-old hypertensive woman.
Case Presentation: The patient is a 27-year-old female, hypertensive housewife, since 1 year and seen for palpitations, epigastric pain, headache, buzzing ears. Evolution: 1 month. Cardiovascular risk factor: hypertension. Cardiac Auscultation, BDC regular at 100 bpm with a B2 flush at the aortic focus. 170/100 mmHg blood pressure with both arms. Soft abdomen with a moving painful moving mass sitting at the epigastrium whose auscultation finds a systolic diastolic murmur. The rest of the exam is peculiar.
Conclusion: Aneurysm of the abdominal aorta is a pathology rarely diagnosed in our environment and yet frequently associated with atheroma risk factors. It must be suspected in front of a pulsatile abdominal mass to be confirmed by abdominal ultrasound. Thus, the ideal treatment remains surgical.
