Ultrasound Case 057

Presentation

A 68 year old man is brought in by ambulance with severe lower back and lower limb pain and paralysis. Clinically he has lower limb ischaemia and you wonder about aortic dissection as the cause.


View 2 – Longitudinal

Describe and interpret these scans

IMAGE INTERPRETATION

Image 1: Transverse view abdominal aorta. There is a 42mm abdominal aortic aneurysm. No dissection flap is seen but there is echogenic material throughout the lumen.

Image 2: Longitudinal view abdominal aorta. The fusiform aneurysm is again seen. The echogenic thrombus filling the entire lumen can be seen to move with each systole.


CLINICAL CORRELATION

Acute aortic thrombosis

Acute aortic thrombosis is rare and life threatening. It may be due to acute occlusion of an abdominal aortic aneurysm as in this case; in situ thrombosis of an atherosclerotic aorta; or the result of a large saddle embolus astride the aortic bifurcation.

Urgent revascularisation is essential however reperfusion injury and post-perfusion syndrome may also be catastrophic.


<< PREV | INDEX | NEXT >>

TOP 100 ULTRASOUND CASES


An Emergency physician based in Perth, Western Australia. Professionally my passion lies in integrating advanced diagnostic and procedural ultrasound into clinical assessment and management of the undifferentiated patient. Sharing hard fought knowledge with innovative educational techniques to ensure knowledge translation and dissemination is my goal. Family, wild coastlines, native forests, and tinkering in the shed fills the rest of my contented time. | SonoCPDUltrasound library | Top 100 | @thesonocave |

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.