Wu Ming-Tung, Beringer Craig, Mahomed Zeyn
Emergency Medicine, University of Witwatersrand, Johannesburg, ZAF.
Emergency Department, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, ZAF.
Cureus. 2023 Sep 4;15(9):e44686. doi: 10.7759/cureus.44686. eCollection 2023 Sep.
Point-of-care ultrasound (PoCUS) can be used to detect and evaluate for an aneurysm and/or a dissection of the abdominal aorta in suspected patients in the Emergency Department (ED). Despite the routine use of PoCUS for the assessment of the abdominal aorta in suspected aortic aneurysms and dissections, there is limited literature regarding its use in the diagnosis of acute abdominal aortic occlusions in the emergency setting. This is a case demonstrating the use of PoCUS in identifying an acute aortic occlusion in a 71-year-old female patient with known hypertension and diabetes mellitus. The patient presented with central abdominal pain and bilateral lower limb weakness to the ED. The patient had multiple differential diagnoses, including a possible acute aortic occlusion of the abdominal aorta. PoCUS of the aorta was utilized to diagnose an acute abdominal aortic occlusion in the ED. The rapid diagnosis expedited the referral to vascular surgeons for definitive management. Acute abdominal aortic occlusion is a time-sensitive and life-threatening emergency. PoCUS of the abdominal aorta to detect acute abdominal occlusions allows for a rapid diagnosis with the potential to improve outcomes. A protocol for detecting acute abdominal aortic occlusion should be included in the standard aorta PoCUS scan.
床旁超声（PoCUS）可用于急诊科（ED）疑似患者腹主动脉瘤和/或夹层的检测与评估。尽管PoCUS在疑似主动脉瘤和夹层患者的腹主动脉评估中常规使用，但关于其在急诊环境中诊断急性腹主动脉闭塞方面的应用文献有限。这是一例展示PoCUS在一名患有高血压和糖尿病的71岁女性患者中识别急性主动脉闭塞的病例。该患者因中腹部疼痛和双侧下肢无力就诊于急诊科。患者有多种鉴别诊断，包括可能的腹主动脉急性闭塞。利用主动脉的PoCUS在急诊科诊断出急性腹主动脉闭塞。快速诊断加快了转诊至血管外科医生进行确定性治疗的进程。急性腹主动脉闭塞是一种时间敏感且危及生命的急症。利用腹主动脉的PoCUS检测急性腹部闭塞可实现快速诊断，有可能改善治疗结果。标准的主动脉PoCUS扫描应纳入检测急性腹部闭塞的方案。
