Ultrasound diagnosis of acute thrombosis of an abdominal aortic aneurysm: a case report

J Emerg Med. 2012 Apr;42(4):437-9. doi: 10.1016/j.jemermed.2011.05.063. Epub 2011 Aug 25.

Abstract

Background: Point-of-care ultrasound is an effective and reliable method to diagnosis the presence of an abdominal aortic aneurysm. However, there has been limited literature regarding ultrasound diagnosis of acute aortic thrombosis.

Objective: Discuss a patient case with acute aortic thrombosis diagnosed by point-of-care emergency ultrasound. Review common etiologies and treatment options in this rare diagnosis.

Case report: A patient with a known abdominal aortic aneurysm presented with mottled lower extremities. Point-of-care ultrasound was utilized by her physicians to diagnose acute thrombosis of her abdominal aorta. With conservative treatment the patient survived to hospital discharge.

Conclusion: Aortic thrombosis is a rare and devastating problem that can be diagnosed with point-of-care ultrasound.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aged, 80 and over
  • Aortic Aneurysm, Abdominal / complications
  • Aortic Aneurysm, Abdominal / diagnostic imaging*
  • Female
  • Humans
  • Point-of-Care Systems
  • Thrombosis / diagnostic imaging*
  • Ultrasonography