Abstract
An: 2018, Nr.2, Articol Nr. 11
Title: 

THE IMPORTANCE OF USUAL IMAGING TECHNIQUES IN ABDOMINAL AORTIC ANEURYSM EXPLORATION – CASE REPORT

Authors: 

      Irina Iuliana Costache, Ana Maria Buburuz - “Grigore T. Popa” University of Medicine and Pharmacy, Iasi; “St. Spiridon” Emergency Hospital Iasi, Cardiology Department
      Amalia Ştefana Darie, Adriana Ion, R.Şt. Miftode - “St. Spiridon” Emergency Hospital Iasi, Cardiology Department
      V. Fotea - “Grigore T. Popa” University of Medicine and Pharmacy, Iasi; “St. Spiridon” Emergency Hospital Iasi, Radiology Department
      Al.D. Costache - “Grigore T. Popa” University of Medicine and Pharmacy, Iasi
      Anca Sava - “Grigore T. Popa” University of Medicine and Pharmacy, Iasi; “Prof. dr. N. Oblu” Emergency Clinical Hospital, Iaşi, Pathology Department
      THE IMPORTANCE OF USUAL IMAGING TECHNIQUES IN ABDOMINAL AORTIC ANEURYSM EXPLORATION – CASE REPORT (Abstract): We are reporting on a case of a 61-year-old man with multiple cardiovascular risk factors and with a history of acute myocardial infarction. Following the clinical discovery of a systolic murmur in the mesogastric area corresponding to abdominal aorta, an ultrasonographic examination was performed, finding a thrombosed abdominal aortic aneurysm, near the aortic bifurcation and increased liver size with multiple hypoechogenic masses. In order to confirm the diagnosis a computed tomography was performed revealing a fusiform abdominal aortic aneurysm below the renal arteries, extending to the aortic bifurcation, with a large thrombus attached to the interior wall. The computed tomograpy scan also revealed a liver tumor. We are underlining the importance of medical history, physical examination and the role of imaging methods in the diagnosis of abdominal aortic aneurysm, in a case with atypical abdominal pain at presentation. The case report includes discussions of essential imaging procedures used in abdominal aortic aneurysm exploration, fast diagnosis being very important to the outcome of this potentially life-threatening condition. Imaging procedures also play a crucial role in the diagnosis of associated pathology, in this case hepatocellular carcinoma.
Key words: ABDOMINAL AORTIC ANEURYSM, CARDIOVASCULAR RISK FACTORS, IMAGING
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