A Tender Pulsatile Epigastric Mass is NOT Always an Abdominal Aortic Aneurysm: A Case Report and Review of Literature

Point-of-care Ultrasound Trumps Computed Tomography in a Case of Abdominal Aortic Aneurysm Assessment

Patients who present to the emergency department (ED) with aortic emergencies can be some of the highest acuity patients that we manage. Ultrasonography performed at the bedside is traditionally considered to be a screening test that is especially useful in the unstable patient. Computed tomography (CT) with angiography is the imaging modality of choice to confirm the diagnosis and plan the management of abdominal aortic aneurysm (AAA), as an ultrasound is generally thought not to provide the clinician with sufficient anatomical information. We present a case of a patient with an abdominal aortic aneurysm where evidence obtained from the ultrasound provided more useful information regarding aneurysm structure and stability than did CT.