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Man With Abdominal Pain
Vasileios Rafailidis, MD, MSc, Dimitrios Godosis, MD, Konstantinos Kouskouras, MD, PhD, Dimitrios Rafailidis, MD, PhD, Afroditi Charitanti, MD, PhD Annals of Emergency Medicine Volume 68, Issue 1, Pages e1-e2 (July 2016) DOI: /j.annemergmed Copyright © 2016 American College of Emergency Physicians Terms and Conditions
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Figure 1 Transverse ultrasonography through the aorta at the level of the rupture. The site of the rupture is identified as a hypoechoic area causing interruption of the aneurysm’s luminal thrombus and outer wall, and extending to the para-aortic space (arrow). Annals of Emergency Medicine , e1-e2DOI: ( /j.annemergmed ) Copyright © 2016 American College of Emergency Physicians Terms and Conditions
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Figure 2 Longitudinal sonogram showing the aneurysm with irregularly shaped mural thrombus and calcifications appearing as reflections of the acoustic beam (arrowheads). Annals of Emergency Medicine , e1-e2DOI: ( /j.annemergmed ) Copyright © 2016 American College of Emergency Physicians Terms and Conditions
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Figure 3 Correlative axial multidetector CT image at the same level as in Figure 1, demonstrating contrast medium extravasation outside the lumen (arrow). Note the large right retroperitoneal hematoma. Annals of Emergency Medicine , e1-e2DOI: ( /j.annemergmed ) Copyright © 2016 American College of Emergency Physicians Terms and Conditions
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Figure 4 Correlative multidetector CT image at the same plane as in Figure 2, confirming the presence of calcifications (arrows) within the thrombus. Annals of Emergency Medicine , e1-e2DOI: ( /j.annemergmed ) Copyright © 2016 American College of Emergency Physicians Terms and Conditions
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