Case Study

Abdominal Aneurysm

Patient: A 63 year old male patient presented to the ER with peripheral artery embolization (blue toe syndrome of lower limbs).

Initial Examination: He had a history of well controlled hypertension and long standing smoking. An echocardiogram was requested to exclude cardiac causes of embolization.

Kosmos POCUS Examination: Bedside cardiac examination with Kosmos was grossly normal. However, from the subcostal window a large abdominal aorta aneurysm with thrombus was found. This finding was later confirmed with CT.

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Video 1

Subcostal view with the TORSO 1 probe (cardiac settings) revealed a large abdominal aneurysm with thrombus

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Video 2

Same view with the TORSO 1 probe (abdominal settings) showing a large abdominal aneurysm with thrombus in long axis

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Video 3

Color Doppler imaging on the aneurysm (TORSO 1 probe - abdominal settings) demonstrating pulsatile flow

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Video 4

Short axis view of the abdominal aneurysm (TORSO 1 probe - abdominal settings) with large circumferential mural thrombus in it

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