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Case Report
Symptomatic abdominal aortic aneurysm: Radiological features and value of ultrasound screening
1 Department of Radiology, University of Abuja, Abuja, Nigeria
2 Department of Radiology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
3 Department of Radiology, Abubakar Tafawa Balewa University Teaching Hospital (ATBUTH), Bauchi, Nigeria
Address correspondence to:
Joshua Oluwafemi Aiyekomogbon
Department of Radiology, University of Abuja, Abuja,
Nigeria
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Article ID: 101242Z01JA2021
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Aiyekomogbon JO, Itanyi DU, Ahmed HM, Halilu SD. Symptomatic abdominal aortic aneurysm: Radiological features and value of ultrasound screening. Int J Case Rep Images 2021;12:101242Z01JA2021.ABSTRACT
Introduction: Aneurysm is dilatation of an artery to 1.5 times its normal diameter as a result of proteolytic degradation of the protein elastin and collagen of the arterial wall. Early diagnosis is imperative to prevent aneurismal rupture which is lethal.
Case Report: An 80-year-old man presented for ultrasonography exam (US) on account of 11 month history of paraumbilical mass and pain. He was a known hypertensive who has not been regular on his anti-hypertensive medications. Physical examination revealed high blood pressure of 170/110 mmHg and thickened peripheral arterial walls. There was also abdominal tenderness and a right paraumbilical mass with a bruit heard over it on auscultation. Abdominal US demonstrated dilated infrarenal abdominal aorta of 5 cm with echogenic mural thrombus noted anteriorly at that level. Computed tomography (CT) and CT-angiography (CTA) corroborated this sonographic diagnosis. He was then slated for surgical repair of the aneurysm but he defaulted on the ground of age.
Conclusion: This case is presented to highlight the basic radiological features of aortic aneurysm and to also re-echo the need for routine US screening in high risk patients in order to prevent the lethal consequences of aneurismal rupture.
Keywords: Abdominal aortic aneurysm, Angiography, Computed tomography, Hypertension, Ultrasound screening
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Author Contributions
Joshua Oluwafemi Aiyekomogbon - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Dorothy Ukamaka Itanyi - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Hamza Mustapha Ahmed - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Solomon Daniel Halilu - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Joshua Oluwafemi Aiyekomogbon et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
