A Man with Severe, Left Lower Quadrant Abdominal Pain

CASE PRESENTATION: An 84-year-old man presented to the emergency department with sudden, left lower quadrant cramping pain. Because critical hypotension was noted, point-of-care ultrasonography (POCUS) was performed immediately. The study revealed a pulsatile flow extravasating from the left common...

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Detalles Bibliográficos
Autores principales: Wen, Ta-Jen, Su, Yu-Te, Ke, Hung-Yen, Lai, Kuan-Cheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2023
Materias:
Images in Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10438927/
https://www.ncbi.nlm.nih.gov/pubmed/37595311
http://dx.doi.org/10.5811/cpcem.1601
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author Wen, Ta-Jen
Su, Yu-Te
Ke, Hung-Yen
Lai, Kuan-Cheng
author_facet Wen, Ta-Jen
Su, Yu-Te
Ke, Hung-Yen
Lai, Kuan-Cheng
author_sort Wen, Ta-Jen
collection PubMed
description CASE PRESENTATION: An 84-year-old man presented to the emergency department with sudden, left lower quadrant cramping pain. Because critical hypotension was noted, point-of-care ultrasonography (POCUS) was performed immediately. The study revealed a pulsatile flow extravasating from the left common iliac artery into the left psoas muscle with hypoechoic para-aortic fluid collection. DISCUSSION: Common iliac artery rupture is rare and has nonspecific clinical presentations. A quick disposition can be made with a combination of clinical manifestations and POCUS results.
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spelling pubmed-104389272023-08-19 A Man with Severe, Left Lower Quadrant Abdominal Pain Wen, Ta-Jen Su, Yu-Te Ke, Hung-Yen Lai, Kuan-Cheng Clin Pract Cases Emerg Med Images in Emergency Medicine CASE PRESENTATION: An 84-year-old man presented to the emergency department with sudden, left lower quadrant cramping pain. Because critical hypotension was noted, point-of-care ultrasonography (POCUS) was performed immediately. The study revealed a pulsatile flow extravasating from the left common iliac artery into the left psoas muscle with hypoechoic para-aortic fluid collection. DISCUSSION: Common iliac artery rupture is rare and has nonspecific clinical presentations. A quick disposition can be made with a combination of clinical manifestations and POCUS results. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2023-08-08 /pmc/articles/PMC10438927/ /pubmed/37595311 http://dx.doi.org/10.5811/cpcem.1601 Text en © 2023 Wen et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Images in Emergency Medicine
Wen, Ta-Jen
Su, Yu-Te
Ke, Hung-Yen
Lai, Kuan-Cheng
A Man with Severe, Left Lower Quadrant Abdominal Pain
title A Man with Severe, Left Lower Quadrant Abdominal Pain
title_full A Man with Severe, Left Lower Quadrant Abdominal Pain
title_fullStr A Man with Severe, Left Lower Quadrant Abdominal Pain
title_full_unstemmed A Man with Severe, Left Lower Quadrant Abdominal Pain
title_short A Man with Severe, Left Lower Quadrant Abdominal Pain
title_sort man with severe, left lower quadrant abdominal pain
topic Images in Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10438927/
https://www.ncbi.nlm.nih.gov/pubmed/37595311
http://dx.doi.org/10.5811/cpcem.1601
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