[Correspondence] Low back pain

The Lancet Series papers on low back pain (June 9, p 2356)1,2 provide a comprehensive review of the causes, prevention, and treatment of low back pain. One possible cause of low back pain often missed by physicians is abdominal aortic aneurysm rupture (or impending rupture).3–5 Ruptured abdominal aortic aneurysms are associated with mortality rates as high as 80% and are often misdiagnosed because of non-specific presenting symptoms, including shock, syncope, low back pain, and nausea or vomiting.

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