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Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
Published on: September 8, 2023
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Aortic Aneurysm: Dissection from the Root to Pelvis.
Lan-Sin Jhang1, An-Shine Chao1, Chih-Wei Chien1
1Department of Obstetrics and Gynecology, New Taipei Municipal Tucheng Hospital, New Taipei City, Taiwan.
Journal of Medical Ultrasound
|April 10, 2025
Summary
Aortic dissection rarely causes pelvic pain. This case highlights a woman with Marfan syndrome whose pelvic pain was caused by a common iliac artery dissection, diagnosed via point-of-care ultrasound.
Area of Science:
- Cardiovascular Medicine
- Vascular Surgery
- Diagnostic Imaging
Background:
- Aortic dissection is a critical cardiovascular emergency.
- Pelvic pain is an atypical presentation for aortic dissection.
- Marfan syndrome is associated with increased risk of aortic pathology.
Observation:
- A 45-year-old woman with Marfan syndrome presented with isolated low abdominal/pelvic pain.
- Gynecologic clinic evaluation was the initial point of contact.
- Bedside point-of-care ultrasound was utilized for initial assessment.
Findings:
- Ultrasound revealed a bilocular, echo-lucent cystic lesion in the pelvis.
- The lesion was identified as a dissection of the common iliac artery.
- This represented an uncommon manifestation of aortic dissection.
Implications:
- Prompt diagnosis of aortic dissection is crucial to prevent rupture.
- Point-of-care ultrasound can be a valuable tool in diagnosing uncommon presentations.
- Awareness of vascular complications in Marfan syndrome is essential for gynecologists.
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