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Bilateral Common Iliac Artery Aneurysm, a Case Report
Laura Kolster1, Danielle Biggs1, Amy Patwa1
1Morristown Medical Center, Department of Emergency Medicine, Morristown, NJ.
Journal of Education & Teaching in Emergency Medicine
|July 19, 2023
Summary
Point-of-care ultrasound (POCUS) rapidly diagnosed life-threatening iliac artery aneurysms in a patient with abdominal pain. This critical emergency department tool guided emergent repair, leading to rapid recovery.
Area of Science:
- Emergency Medicine
- Vascular Surgery
- Diagnostic Imaging
Background:
- Undifferentiated abdominal pain is a common emergency department presentation.
- Iliac artery aneurysms can present with severe pain and risk of rupture.
- Timely diagnosis is crucial for effective management of vascular emergencies.
Purpose of the Study:
- To highlight the utility of point-of-care ultrasound (POCUS) in diagnosing iliac artery aneurysms.
- To demonstrate the role of POCUS in guiding emergent surgical intervention.
- To emphasize POCUS as a critical tool for patients with abdominal pain in the ED.
Main Methods:
- A 72-year-old male presented with abdominal pain and hypertension.
- Bedside point-of-care ultrasound (POCUS) was performed to evaluate abdominal pain.
- Computed tomography (CT) angiogram confirmed findings and guided surgical planning.
Main Results:
- POCUS revealed markedly enlarged bilateral iliac artery aneurysms with signs of impending rupture.
- CT angiography confirmed the POCUS findings.
- The patient underwent emergent surgical repair and was discharged the following day.
Conclusions:
- POCUS is a critical diagnostic tool for patients presenting with abdominal pain in the emergency department.
- Early identification of iliac artery aneurysms using POCUS can facilitate timely and life-saving interventions.
- This case underscores the value of POCUS in managing vascular emergencies.
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