Casual detection of an abdominal aortic aneurysm thanks to a trainee-made ultrasound with two subsequent "domino" diagnoses: case report and insights on the role of ultrasound courses.

Autor: Oteri V; Endocrine Unit, Department of Clinical and Experimental Medicine, University of Catania, Garibaldi-Nesima Hospital, Catania, Italy. research@droteri.it., Galeano F; Endocrine Unit, Department of Clinical and Experimental Medicine, University of Catania, Garibaldi-Nesima Hospital, Catania, Italy., Conti A; Department of Diagnostic Radiology, Neuroradiology and Interventional Radiology, Garibaldi-Centro Hospital, Catania, Italy., Scavone G; Department of Diagnostic Radiology, Neuroradiology and Interventional Radiology, Garibaldi-Centro Hospital, Catania, Italy., Tumminia A; Endocrine Unit, Department of Clinical and Experimental Medicine, University of Catania, Garibaldi-Nesima Hospital, Catania, Italy., Frasca F; Endocrine Unit, Department of Clinical and Experimental Medicine, University of Catania, Garibaldi-Nesima Hospital, Catania, Italy., Romano R; Geriatrics Unit, Garibaldi-Nesima Hospital, Catania, Italy., Romano M; Geriatrics Unit, Garibaldi-Nesima Hospital, Catania, Italy.
Jazyk: angličtina
Zdroj: Journal of ultrasound [J Ultrasound] 2024 Dec 21. Date of Electronic Publication: 2024 Dec 21.
DOI: 10.1007/s40477-024-00979-5
Abstrakt: Early detection of abdominal aortic aneurysm (AAA) is crucial as untreated lesions can be life-threatening. We describe the case of a fortuitous ultrasound (US) detection of AAA by a trainee which allowed two subsequent "domino" diagnoses. A 69 y.o. male underwent US to evaluate prostate and bladder. He was a heavy smoker affected by hypertension and dyslipidemia. An endocrinology resident and ultrasound trainee started the exam accidentally from the epigastrium and found a fusiform aneurysmal lesion. Subsequent computed tomography (CT) scan confirmed the diagnosis of AAA and incidentally revealed a colon adenocarcinoma and a diffuse non-Hodgkin lymphoma. This case report underlines the importance of extending the abdominal US examination to the aorta in patients over 60 years of age (especially in those people with multiple risk factors for AAA) and emphasizes the critical role of organizing hands-on-patient US courses with a multidisciplinary approach to optimize the training of future sonographers.
Competing Interests: Declarations. Conflict of interest: The authors have no relevant financial or non-financial interests to disclose. Ethical approval: This is an observational case report. The local Ethics Committee (Catania 2) has confirmed that no ethical approval is required. Consent to participate—consent to publish: Informed consent was obtained from the participant included in the study. The participant provided informed consent for publication of individual person’s data in any form (including any individual details, images or videos).
(© 2024. Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).)
Databáze: MEDLINE
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