Hiccups: an unusual manifestation of an abdominal aortic aneurysm

JACEP. 1979 Sep;8(9):368-70. doi: 10.1016/s0361-1124(79)80261-0.


A patient with hiccups was found to have an abdominal aortic aneurysm that subsequently ruptured. We believe that a leaking abdominal aortic aneurysm led to an ileus-induced distention of the splenic flexure of the colon with consequent diaphragmatic irritation and phrenic nerve stimulation. This led to persistent hiccups as a result of repetitive stimulation of the reflex arc mediating hiccups. Persistent hiccups require investigation for an underlying organic etiology, and a leaking abdominal aortic aneurysm should be included in the differential diagnosis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aorta, Abdominal
  • Aortic Aneurysm / complications*
  • Aortic Aneurysm / diagnosis
  • Hiccup / etiology*
  • Humans
  • Male