Huang Derrick, Wanchu Rohan, Cho Michael, Leon Leoh, Ganti Latha
College of Medicine, University of Central Florida, 6850 Lake Nona Blvd, Orlando, FL 32827, USA.
HCA Florida Ocala Hospital, Ocala, FL, USA.
Radiol Case Rep. 2023 Apr 5;18(6):2116-2120. doi: 10.1016/j.radcr.2023.03.002. eCollection 2023 Jun.
Rupture of an abdominal aortic aneurysm (AAA) is an immediately life-threatening phenomenon with substantial mortality. Although most AAAs are asymptomatic, an impending AAA rupture can be heralded by nonspecific symptoms and imaging findings on CT and point-of-care ultrasound (POCUS). In this report, we present a case of an 81-year-old male with an atypical presentation of an AAA with novel sonographic findings of imminent rupture on POCUS with Doppler that prompted successful emergent intervention. In the emergency department, imaging findings on aortic POCUS and CT imaging with angiography can facilitate assessment for impending aortic rupture, which can expedite appropriate disposition and potentially life-saving intervention.
腹主动脉瘤（AAA）破裂是一种会立即危及生命的现象，死亡率很高。尽管大多数腹主动脉瘤没有症状，但腹主动脉瘤即将破裂时可能会出现非特异性症状，以及CT和床旁超声（POCUS）检查的影像学表现。在本报告中，我们介绍了一例81岁男性患者，其腹主动脉瘤表现不典型，床旁超声检查发现多普勒提示即将破裂的新超声表现，从而促使成功进行了紧急干预。在急诊科，主动脉床旁超声和CT血管造影的影像学表现有助于评估主动脉是否即将破裂，这可以加快适当的处置并进行可能挽救生命的干预。
