Abstract：
Low back pain is one of the most frequent reasons for consultation in primary care. Sometimes it is not easy to make a good differential diagnosis, because the number of pathologies that can express themselves with such symptoms is very wide and a complementary test or referral to the reference hospital is not always indicated. The following is a clinical case of a 59-year-old female patient with a history of dyslipidemia treated with ezetimibe, who consulted again for breakthrough low back pain, which was finally diagnosed as a penetrating ulcer of the abdominal aorta, treated endovascularly by the vascular surgery service. The clinical case aims to provide an overview of the acute treatment of aortic syndrome, showing the differences compared to the management of other common pathologies in primary care with the same clinical expression.
摘要：
腰背痛是初级保健咨询的最常见原因之一。有时要做出良好的鉴别诊断并不容易，因为可以用这种症状表达自己的病理数量非常广泛，并且并不总是需要补充检查或转诊到参考医院。以下是一例59岁有血脂异常病史的女性患者接受依泽替米贝治疗的临床病例,他再次咨询突破性的腰痛，最终被诊断为腹主动脉穿透性溃疡，由血管外科服务进行血管内治疗。临床病例旨在概述主动脉综合征的急性治疗，显示了与具有相同临床表现的初级保健中其他常见病理的管理相比的差异。
