Which symptom is NOT typically associated with a ruptured abdominal aortic aneurysm?

Chronic back pain is not typically associated with a ruptured abdominal aortic aneurysm. When an abdominal aortic aneurysm ruptures, it usually presents with acute symptoms due to the sudden and dramatic change in the patient's condition.

The symptoms commonly associated with a ruptured aneurysm include sudden severe abdominal pain, which can also radiate to the back or groin, along with severe hypotension resulting from internal bleeding. Patients may also exhibit a pulsatile mass upon abdominal examination, particularly if they have a larger aneurysm that is rupturing or has already ruptured. In contrast, chronic back pain usually indicates a long-standing issue that is not directly related to acute vascular events. Thus, while back pain may be present in some individuals due to other underlying conditions, it is not a typical symptom of a ruptured abdominal aortic aneurysm.