Wen Ta-Jen, Su Yu-Te, Ke Hung-Yen, Lai Kuan-Cheng
Tri-Service General Hospital, National Defense Medical Center, Department of Emergency Medicine, Taipei, Taiwan.
Tri-Service General Hospital, National Defense Medical Center, Division of Cardiovascular Surgery, Department of Surgery, Taipei, Taiwan.
Clin Pract Cases Emerg Med. 2023 Aug;7(3):197-199. doi: 10.5811/cpcem.1601.
An 84-year-old man presented to the emergency department with sudden, left lower quadrant cramping pain. Because critical hypotension was noted, point-of-care ultrasonography (POCUS) was performed immediately. The study revealed a pulsatile flow extravasating from the left common iliac artery into the left psoas muscle with hypoechoic para-aortic fluid collection.
Common iliac artery rupture is rare and has nonspecific clinical presentations. A quick disposition can be made with a combination of clinical manifestations and POCUS results.
一名84岁男性因突发左下腹绞痛就诊于急诊科。由于发现严重低血压，立即进行了床旁超声检查（POCUS）。检查显示有搏动性血流从左髂总动脉渗入左腰大肌，腹主动脉旁有低回声液体积聚。
髂总动脉破裂罕见，临床表现不具特异性。结合临床表现和POCUS结果可迅速做出诊断。
