A Man with Severe, Left Lower Quadrant Abdominal Pain.

ABSTRACT:

Case presentation

An 84-year-old man presented to the emergency department with sudden, left lower quadrant cramping pain. Because critical hypotension was noted, point-of-care ultrasonography (POCUS) was performed immediately. The study revealed a pulsatile flow extravasating from the left common iliac artery into the left psoas muscle with hypoechoic para-aortic fluid collection.

Discussion

Common iliac artery rupture is rare and has nonspecific clinical presentations. A quick disposition can be made with a combination of clinical manifestations and POCUS results.

SUBMITTER: Wen TJ 

PROVIDER: S-EPMC10438927 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature