Experience of use of bedside ultrasonography for detection of Abdominal aortic aneurysm in a tertiary medical center in Taiwan, ROC

Almost the emergent cases were diagnosed of ruptured AAA within 10 to 20 minutes by
bedside ultrasonography.Utility of bedside ultrasonography shortened the time of Computed
topography (CT) imaging study and decision making to crucial management (Surgical
repair)especially in overcrowded ED. These cases should be diagnosed rapidly and treated
aggressivelyotherwise they were dead. Bedside sonography has been also played a role
in diagnosing the AAA which has atypical presentation such as hematuria or scrotal
pain in our experience.

The larger size of AAA the easier to detect by bedside ultrasonography. Detection
of rupture of AAA by bedside ultrasonography was amazingly noted in our experience
( 6 of 8 ruptured cases). In addition, use of ultrasonography in patient who is suspected
AAA make EP shorten the time to computed topography performed in overcrowded ED and
surgical repair if it was ruptured.

In rare condition like mycotic aneurysm, utility of bedside ultrasonography sometimes
plays a role, we have one case of mycotic aneurysm first detected by ultrasonography.