Abdominal aortic aneurysm

Also called AAA or Aortic aneurysm

An abdominal aortic aneurysm is a swelling in the aorta, the largest artery in the body, where it runs through the abdomen. Most grow slowly and cause no symptoms. The concern is that a large aneurysm can burst, which is a medical emergency, so aneurysms are measured regularly once found.

Last updated Nov 9, 2026

What it is

The wall of the aorta weakens and balloons outwards. It is more common in men over 65, in people who smoke or have smoked, and in people with high blood pressure, high cholesterol or a close relative who had one.

Small aneurysms are usually monitored with ultrasound scans at set intervals. When an aneurysm reaches a certain size or grows quickly, a vascular surgeon may suggest a planned repair.

Common signs

  • Usually none; most are found on a screening scan or a scan done for another reason
  • Sometimes a pulsing feeling in the belly
  • Sometimes persistent pain in the belly or lower back

How it is usually diagnosed

  • An abdominal ultrasound, which measures the width of the aorta
  • A CT scan to plan treatment if repair is considered
  • Blood pressure and cholesterol checks, since they affect growth

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Every ultrasound report with the measured diameter and date, so growth can be compared
  • CT scan reports
  • Letters from the vascular surgery clinic
  • Operation notes and follow-up scans after a repair

Questions to ask your doctor

  • How big is my aneurysm, and how often will it be measured?
  • At what size would repair be considered?
  • What can I do to slow its growth?
  • Should my brothers or sisters be checked?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Sudden, severe pain in the belly or back
  • Fainting, sweating, a racing heartbeat or feeling suddenly very unwell
  • Shortness of breath with pain in the belly

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources