en
Scientific article
Case report
Open access
English

Contrast enhanced ultrasonography versus MR angiography in aortocaval fistula: case report

Published inAbdominal imaging, vol. 35, no. 3, p. 376-380
Collection
  • Open Access - Licence nationale Springer
Publication date2010
Abstract

Aortocaval fistula (ACF) is a rare, life threatening complication of abdominal aortic aneurysms. Time to diagnosis is crucial as preoperative diagnosis and early surgical intervention significantly improve the outcome. The clinical spectrum being varied, the challenge of prompt and reliable diagnosis rests on emergency radiology. While the gold standard for detecting ACF today is CT angiography (CTA), frequently complicating renal insufficiency discourages the use of iodinated contrast making MR angiography (MRA) a useful alternative. Contrast enhanced ultrasound (CEUS) provides a promising new diagnostic option allowing rapid, non invasive and bedside diagnosis, especially in hemodynamically unstable patients. We present a case of prompt diagnosis of ACF by CEUS in comparison to modern MRA, thus establishing the new potential role of CEUS.

Keywords
  • Aged
  • Aortic Aneurysm, Abdominal/ complications
  • Aortic Diseases/ diagnosis/etiology/ultrasonography
  • Emergency Treatment
  • Fatal Outcome
  • Humans
  • Image Enhancement
  • Image Processing, Computer-Assisted
  • Magnetic Resonance Angiography
  • Phospholipids/ diagnostic use
  • Sulfur Hexafluoride/ diagnostic use
  • Ultrasonography, Doppler, Color/ methods
  • Vascular Fistula/ diagnosis/etiology/ultrasonography
  • Vena Cava, Inferior
Citation (ISO format)
BHATIA, Mona et al. Contrast enhanced ultrasonography versus MR angiography in aortocaval fistula: case report. In: Abdominal imaging, 2010, vol. 35, n° 3, p. 376–380. doi: 10.1007/s00261-009-9507-x
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Article (Published version)
accessLevelPublic
Identifiers
ISSN of the journal0942-8925
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191downloads

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