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Ultrasonography of abdominal aneurysm

69 bytes added, 21:03, 22 January 2019
===Evaluation===
;Location
Classify as infrarenal if the superior limit is almost definitely below the level of where the renal arteries leave the aorta (although these arteries are often hard to see directly even with Doppler). Otherwise, the aneurysm is at least suspected to be para- or juxtarenal.
 
;Diameter
{{Diameters of abdominal aorta}}
[[File:Ultrasonographic measurement of aortic diameter at the navel.svg|thumb|center|The aortic measurement on abdominal ultrasonography is between the outer margins of the aortic wall.<ref>{{cite web|url=https://emedicine.medscape.com/article/1977715-overview#a3|title=Bedside Ultrasonography Evaluation of Abdominal Aortic Aneurysm - Technique|author=Timothy Jang|date=2017-08-28|website=[[Medscape]]|deadurl=no|archiveurl=https://web.archive.org/web/20180125015641/https://emedicine.medscape.com/article/1977715-overview#a3|archivedate=2018-01-25|df=}}</ref>]]
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In case of an aortic aneurysm, determine the superior limit, preferably excluding possible para- or juxtarenal aortic aneurysm. The renal arteries may be seen by Doppler, but the branching points are often difficult to see.;Mural thrombus
[[File:Ultrasonography of abdominal aortic aneurysm with mural thrombus.jpg|thumb|200px|Mural thrombus]]
Also check Check for the presence or absence of a mural thrombus, since it is associated with earlier rupture.<ref name="HallerCrawford2018">{{cite journal|last1=Haller|first1=Stephen J.|last2=Crawford|first2=Jeffrey D.|last3=Courchaine|first3=Katherine M.|last4=Bohannan|first4=Colin J.|last5=Landry|first5=Gregory J.|last6=Moneta|first6=Gregory L.|last7=Azarbal|first7=Amir F.|last8=Rugonyi|first8=Sandra|title=Intraluminal thrombus is associated with early rupture of abdominal aortic aneurysm|journal=Journal of Vascular Surgery|volume=67|issue=4|year=2018|pages=1051–1058.e1|issn=07415214|doi=10.1016/j.jvs.2017.08.069}}</ref>
===Report===
*Location of aortic aneurysm, such as infrarenal, if the superior limit can be determined.
*Any particular shape (other than fusiform).
*Aortic diameter, preferably as "in greatest diameter in the sagittal plane" or similar.
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