Related Experiment Video
Updated: Jun 21, 2026
07:12
An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta
Published on: September 8, 2023
Uncommon incidental pseudoaneurysm. Diagnostic and management challenges
Azmy M Hadidy1, Osama A Samara, Heba S Takrouri
1Department of Diagnostic Radiology, Jordan University Hospital, University of Jordan, Amman, Jordan. amshadidy@yahoo.com
Saudi Medical Journal
|August 12, 2009
Summary
This study analyzed incidental pseudoaneurysms from non-catheterization causes, finding they most often affect young males in lower limb vessels. Duplex sonography showed lower sensitivity for these cases compared to post-catheterization pseudoaneurysms.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Radiology
Background:
- Incidental pseudoaneurysms arise from non-catheterization causes, including trauma and iatrogenic procedures.
- These pseudoaneurysms present a distinct clinical spectrum compared to those resulting from catheterization.
- Understanding their unique characteristics is crucial for accurate diagnosis and management.
Purpose of the Study:
- To analyze patients with uncommon incidental pseudoaneurysms from non-catheterization causes.
- To discuss the clinical spectrum of these pseudoaneurysms.
- To differentiate them from post-catheterization pseudoaneurysms.
Main Methods:
- Retrospective study of 11 patients (8 males, 3 females) at Jordan University Hospital (2002-2008).
- Radiological investigations included duplex sonography (DS), computed tomography (CT), conventional angiography, magnetic resonance imaging (MRI), and magnetic resonance angiography (MRA).
Main Results:
- Pseudoaneurysms were most common in young males (63.6%) and lower limb vessels (36%).
- Clinical findings suggested pseudoaneurysms in 27% of cases.
- Duplex sonography identified pseudoaneurysm indicators in 4/8 scans; CT and angiography had diagnostic limitations in 1/5 cases; MRI/MRA confirmed pseudoaneurysms in 2 patients.
Conclusions:
- Incidental pseudoaneurysms can occur after trauma or iatrogenic procedures with delayed presentation.
- Young males are a high-risk group, unlike elderly females with calcified vessels in post-catheterization cases.
- CT and MRI/MRA demonstrate high accuracy for diagnosing incidental pseudoaneurysms, while DS shows reduced sensitivity compared to post-catheterization cases.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:30Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
01:15Aortic Regurgitation I: Introduction
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...