Abdominal POCUS. Characteristic ultrasound image of a giant thrombosed infrarenal aortic aneurysm

Muñoz Moreno, Juan Francisco; Espinosa Gonzalez, Maria Carmen; Peral Santos, Alfonso

doi:10.1016/j.medine.2024.02.015

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Imagen ecográfica característica de aneurisma de aorta infrarrenal trombosado" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 429 "Ancho" => 1367 "Tamanyo" => 64333 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] "textoCompleto" => "A 70-year-old male reported to the emergency service due to recurrent abdominal pain associated with physical exertion. He tended to have low blood pressure, and the physical examination revealed a pulsatile mesogastric mass measuring about 10 cm in diameter.Point-of-care ultrasound (POCUS) revealed an infrarenal aortic aneurysm measuring 11 cm in diameter and with an internal lumen of 4 cm (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) ventral to the hyperechogenic zone with a posterior shadow corresponding to the spine (V). The characteristic signs of a thrombosed aortic aneurysm can be observed, with a turbulent internal flow (“swirling smoke” pattern), surrounded by the thrombosed zone measuring up to 7 cm in thickness (T). 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Medicina Intensiva is the journal of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC), and has become the reference publication in Spanish in its field. Medicina Intensiva mainly publishes Original Articles, Reviews, Clinical Notes, Images in Intensive Medicine, and Information relevant to the specialty. All works go through a rigorous selection process.

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Vol. 48. Issue 10.

Pages 626 (October 2024)

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