Circumferential Hyperechogenecity as an Ultrasound Sign of Infected Abdominal Aortic Aneurysm | Zendy

Tsuyoshi Yoshimuta | Zendy; Toshiya Okajima | Zendy; Hatsue IshibashiUeda | Zendy; Mika Mori | Zendy; Masahiro Higashi | Zendy; Kenshi Hayashi | Zendy; Masaaki Kawashiri | Zendy; Masakazu Yamagishi | Zendy

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Circumferential Hyperechogenecity as an Ultrasound Sign of Infected Abdominal Aortic Aneurysm

Author(s) -

Tsuyoshi Yoshimuta,

Toshiya Okajima,

Hatsue IshibashiUeda,

Mika Mori,

Masahiro Higashi,

Kenshi Hayashi,

Masaaki Kawashiri,

Masakazu Yamagishi

Publication year - 2013

Publication title -

circulation

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 7.795

H-Index - 607

eISSN - 1524-4539

pISSN - 0009-7322

DOI - 10.1161/circulationaha.112.137521

Subject(s) - medicine , abdominal aortic aneurysm , sign (mathematics) , ultrasound , radiology , aortic aneurysm , aneurysm , cardiology , mathematical analysis , mathematics

A 72-year-old man was admitted to the local hospital with a 2-day history of abdominal pain and mild back pain with low-grade fever. Computed tomography (CT) without contrast enhancement demonstrated a fusiform abdominal aortic aneurysm (AAA) of 45×48 mm in the infrarenal aorta and a nephrolith with ectatic renal pelvis. Therefore, antibiotics were given intravenously for 6 days for a diagnosis of pyelonephritis. The patient was then referred to our hospital because of worsening symptoms. His white blood cell count was 12 400/μL. Contrast-enhanced CT revealed a 53×55-mm AAA, which was larger than that of 6 days before, with periaortic …

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