​Doctors will conduct a thorough physical examination, such as checking for high blood pressure, heart murmurs, or any pulsating lumps in the abdomen, groin or legs. An aortic aneurysm can show no symptoms until it has grown so large that it bursts, or tears within its wall. Early detection and treatment enhances survival. If large enough, an aortic aneurysm in the abdomen can be detected by a clinical examination.