Vertebral erosions in abdominal aortic aneurysms as a cause of chronic low back pain. A series of 5 cases

Chronic low back pain is a common cause of medical consultation, and is often associated with degenerative vertebral disease. Despite this, we must not forget other diseases even in those cases where the imaging tests may suggest chronic degenerative changes in the lumbar spine, including the possible presence of an abdominal aortic aneurysm with a contained rupture must be ruled out due to its prognostic and therapeutic implications.We present 5 cases of chronic low back pain associated with serious lytic lesions in the vertebral body due to chronic rupture of an abdominal aortic aneurysm.

ResumenEl dolor lumbar crónico es una causa habitual de consulta médica y se relaciona en muchas ocasiones con la enfermedad vertebral degenerativa. A pesar de ello no debemos olvidar otras enfermedades incluso en aquellos casos en los que las pruebas de imagen preliminares sugieran cambios degenerativos crónicos en la columna lumbar, y la posible presencia de un aneurisma de aorta abdominal con una rotura contenida debe ser descartada por sus implicaciones pronósticas y terapéuticas.Presentamos 5 casos de dolor lumbar crónico asociado a lesiones líticas graves del cuerpo vertebral debido a rotura crónica contenida de un aneurisma de aorta abdominal.