Classic triad (only 50% of cases) is pain + hypotension + pulsatile mass
Pain often described as sudden, severe, radiating to back, ripping quality
Syncope (10%)
Signs of Retroperitoneal hemorrhage
Massive GI bleed from aortoenteric fistula
Pain +<unk>  = rupture until proven otherwise
Acute abdomen + hypotension = possible rupture
Gross hematuria can be caused by an<unk> aval fistula (very rare)
Unruptured<unk> s are frequently asymptomatic
Pain often described as sudden, severe, radiating to back, ripping quality
Abdominal aortic aneurysm
Splenic artery aneurysm
Aortocaval fistula
Superior mesenteric artery syndrome
Acute gastroenteritis
Mesenteric vein thrombosis
Aortoenteric fisulta
Splenic infarction