Abstract
Acute aortic occlusion is an emergent vascular condition not encountered routinely. Given its varied presentations, including neurovascular deficits and mimicking an acute abdomen, the diagnosis is often delayed causing increased morbidity and mortality. We present a case of acute abdominal aortic occlusion masquerading as sudden onset lower extremity pain and weakness in an 86-year-old female requiring emergent thrombectomy. This is only the second case report to discuss the use of point-of-care ultrasound to expedite diagnosis and management.1
Highlights
Acute aortic occlusion (AAO) is a rare but potentially devastating vascular emergency
We present a case of acute abdominal aortic occlusion masquerading as sudden onset lower extremity pain and weakness in an 86-year-old female requiring emergent thrombectomy
We report a case of AAO in which point-ofcare ultrasound (POCUS) expedited definitive diagnosis and treatment
Summary
Benjamin Bloom, MD* Ryan Gibbons, MD† Dov Brandis, MD† Thomas G. Section Editors: Shadi Lahham, MD and Rick A. Acute aortic occlusion is an emergent vascular condition not encountered routinely. Given its varied presentations, including neurovascular deficits and mimicking an acute abdomen, the diagnosis is often delayed causing increased morbidity and mortality. We present a case of acute abdominal aortic occlusion masquerading as sudden onset lower extremity pain and weakness in an 86-year-old female requiring emergent thrombectomy. This is only the second case report to discuss the use of point-of-care ultrasound to expedite diagnosis and management.1 [Clin Pract Cases Emerg Med. 2020;4(1):79–82.]
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