Clinical Practice and Cases in Emergency Medicine (Feb 2020)

Point-of-care Ultrasound Diagnosis of Acute Abdominal Aortic Occlusion

  • Benjamin Bloom,
  • Ryan Gibbons,
  • Dov Brandis,
  • Thomas G. Costantino

DOI
https://doi.org/10.5811/cpcem.2019.11.44311
Journal volume & issue
Vol. 4, no. 1

Abstract

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Acute aortic occlusion is an emergent vascular condition not encountered routinely. Given its varied presentations, including neurovascular deficits and mimicking an acute abdomen, the diagnosis is often delayed causing increased morbidity and mortality. We present a case of acute abdominal aortic occlusion masquerading as sudden onset lower extremity pain and weakness in an 86-year-old female requiring emergent thrombectomy. This is only the second case report to discuss the use of point-of-care ultrasound to expedite diagnosis and management. 1