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Vague abdominal pain

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A middle aged woman presented with vague abdominal pain. No other significant features on history.

An ultrasound was performed and the images of the upper abdomen (transverse) are shown.

610 P1Vimeo from Ultrasound Village on Vimeo.

Describe the findings.

There appears to be an abnormality of the aorta with either a dissection flap or mural haematoma or peri-aortic mass. The crescentic shaped mass is pulsatile and colour flow is seen within it. However, careful observation of the spine suggests that there may be a double image which raises the possibility that this is an artefact.

What is the underlying cause for this.

610 P2Vimeo from Ultrasound Village on Vimeo.

 

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