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Contrast-Enhanced Sonography for Diagnosis of Ruptured Abdominal Aortic Aneurysm

Orlando Catalano1, Roberto Lobianco, Bianca Cusati and Alfredo Siani

1 All authors: Department of Radiology, S. Maria delle Grazie Hospital, Via Domitiani, Pozzuoli 80078, Italy.



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  		Fig. 1A. —74-year-old man with severe abdominal pain and palpable abdominal mass. Baseline sonogram shows left-sided retroperitoneal hematoma (small arrows) and small hypoechoic focus adjacent to aneurysm (large arrow). A = aortic aneurysm.

 


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  		Fig. 1B. —74-year-old man with severe abdominal pain and palpable abdominal mass. Contrast-enhanced sonogram obtained 30 sec after injection shows contrast extravasation (arrow) in same place as hypoechoic focus on baseline sonogram (A). A = aortic aneurysm.

 


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  		Fig. 2A. —78-year-old man with hypotension and severe back pain. Contrast-enhanced sonogram obtained 34 sec after injection shows contrast extravasation (arrows) anterolateral to aorta. A = aortic aneurysm.

 


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  		Fig. 2B. —78-year-old man with hypotension and severe back pain. Contrast-enhanced CT scan shows contrast leakage (arrows) adjacent to lower aspect of aneurysm.

 


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  		Fig. 3A. —71-year-old hemodialysis-treated man with known aneurysm and severe back pain. Contrast-enhanced sonogram obtained 28 sec after injection shows contrast extravasation (arrow) anterolateral to aorta. A = aortic aneurysm.

 


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  		Fig. 3B. —71-year-old hemodialysis-treated man with known aneurysm and severe back pain. Contrast-enhanced CT scan shows abdominal aortic aneurysm and contrast extravasation (arrow). Note polycystic kidneys.

 


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  		Fig. 4. —68-year-old woman with hypotension, palpable mass, and back pain. Contrast-enhanced sonogram obtained 30 sec after injection shows contrast extravasation (small arrows) and dependent contrast pooling. Large arrow points to aneurysmal wall calcification. A = aortic aneurysm.

 

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