RAPID IDENTIFICATION OF RUPTURED ABDOMINAL AORTIC ANEURYSM USING POINT-OF-CARE ULTRASOUND IN THE EMERGENCY DEPARTMENT: A CASE REPORT
https://doi.org/10.22452/jummec.vol24no2.14
- Author:
Siti Nur Izni Sheik Muhamed Amin
1
;
Kevin Chuing Shen Wong
1
;
Ahmad Khaldun Ismail
1
Author Information
1. Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.
- Publication Type:Journal Article
- Keywords:
Abdominal aortic aneurysm;
Emergency;
Ultrasound
- MeSH:
Aortic Aneurysm, Abdominal
- From:Journal of University of Malaya Medical Centre
2021;24(2):106-109
- CountryMalaysia
- Language:English
-
Abstract:
A ruptured abdominal aortic aneurysm (AAA) is a catastrophic cardiovascular emergency which carries high risk of morbidity and mortality. Clinical manifestation includes severe abdominal pain, back or flank pain, syncope, hypotension, gastrointestinal bleeding and cardiovascular collapse. Misdiagnosis is often due to atypical presentation and results in fatal consequences. Rapid diagnosis of ruptured AAA is essential because it influences the patient’s prognosis. Timely and accurate diagnosis can be made in the Emergency Department using point-of-care ultrasound (POCUS) which has high sensitivity and specificity. We report a case of an elderly male who came with non-specific abdominal pain to the Emergency Department. Timely diagnosis of ruptured AAA was made with POCUS. The diagnosis was made by a non-radiologist using POCUS, however, the decision for ruptured AAA repair was only
made by surgical team following computed tomography scan of the abdomen.
- Full text:20250813101956368578243.pdf
