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Clinical guideline · Acute and Emergency

Abdominal Aortic Aneurysm (AAA)

Article last updated: 19 November 2025

Background Information

Definition

AAA is defined as a permanent localised dilatation of the abdominal aorta Ref

  • Abdominal aortic diameter ≥3.0 cm, or
  • Artery diameter ≥1.5 times the normal diameter

Guidelines

Investigation and Diagnosis

For a haemodynamically stable patient with suspected AAA, the first-line test is an aortic ultrasound.

Read the complete diagnostic pathway in the article.

Source: NICE guideline NG156Read the full topic
Imperial College London
Yale University
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Harvard University
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Example question · Abdominal aortic aneurysm01 / 01

A 72-year-old man attends his GP for a routine check. On examination, he is found to have a pulsatile abdominal mass. He is asymptomatic and haemodynamically stable.

What is the most appropriate first-line investigation?

Based on NICE NG156. For learning; follow the full guidance in clinical practice.

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NICE guideline NG156

Abdominal aortic aneurysm: diagnosis and management

Read recommendations at NICE Guideline Genius is an independent educational resource and is not endorsed by NICE.

We built the resource we wanted during medical school.

We're Konstantinos Mantonanakis and Adams Lau. We studied medicine at Queen Mary University of London in Malta, and now work as doctors in the UK.

We know what it is like to turn long, changing guidelines into something you can understand for an exam and use in practice. Guideline Genius grew from that experience. Our aim is to make that work clearer for the students coming after us.

More about Guideline Genius

Konstantinos
Mantonanakis

Kumar and Clark Prize — highest overall five-year ranking across Queen Mary's London and Malta campuses.

MBBS with Distinction · third highest UKMLA score.

Began his resident doctor career at Russells Hall Hospital in Dudley.

Konstantinos's graduation post

Adams
Lau

Patrick Pawsey Prize — highest UKMLA AKT score at Queen Mary.

High Commendation in the 2026 University of London Gold Medal viva; Glanfield Harris and Drapers' Company prizes.

Began FY1 on the Specialised Foundation Programme at Broomfield Hospital, Chelmsford.

Adams's graduation post

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