Iliac Pseudoaneurysm from Endoleak
A 65-year-old male presented to the emergency department complaining of two hours of severe lower abdominal pain radiating into his left testicle. The patient described a vascular procedure in the past but did not recall the details. An emergent bedside ultrasound was performed to evaluate the...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2015-12-01
|
| Series: | Western Journal of Emergency Medicine |
| Online Access: | http://escholarship.org/uc/item/09d96763 |
| Summary: | A 65-year-old male presented to the emergency department
complaining of two hours of severe lower abdominal
pain radiating into his left testicle. The patient described a
vascular procedure in the past but did not recall the details.
An emergent bedside ultrasound was performed to evaluate
the abdominal aorta. During the exam an echogenic object
consistent with a prior endovascular stent was discovered
in the distal aorta prompting further ultrasound evaluation
of the iliac artery (Figure). A true lumen (thin black arrow)
was visualized with evidence of leak (white arrows) during
color Doppler evaluation. The patient was taken emergently
to computed tomography and the diagnosis of an iliac artery
pseudoaneurysm from an endoleak was confirmed. |
|---|---|
| ISSN: | 1936-900X 1936-9018 |