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World Journal of Surgery

, Volume 4, Issue 5, pp 511–518 | Cite as

Ultrasonic and computed tomographic imaging of the abdominal aorta

  • Robert R. Hattery
  • Byrn WilliamsonJr.
  • Robert B. Wallace
Article

Abstract

Although ultrasonic and computed tomographic technology is continuing to evolve, these already sophisticated imaging tests have become the primary methods of evaluating the patients with aortic aneurysms. Both modalities are accurate and noninvasive. The major value of these techniques to the surgeon is in assessing those patients in whom the diagnosis is in doubt and in following patients in whom it has been elected to observe a small stable aneurysm. Changes in an aneurysm can be detected on serial examinations which might indicate the need for surgery in spite of adverse patient risk factors, and these techniques may provide a means of detecting false aneurysms in patients who are difficult to assess accurately by physical examination. Ultrasound and computed tomography are very helpful techniques in the diagnosis and assessment of aortic aneurysms. These diagnostic modalities are not required in every patient and should be used discriminately and when indicated.

Keywords

Compute Tomographic Imaging Aortic Aneurysm Imaging Test Abdominal Aorta Patient Risk 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Résumé

Les techniques d'ultrasonographie et de tomographie computérisée, bien qu'encore en pleine évolution, nous donnent déjà des images détaillées qui sont d'un intérêt évident pour définir les anévrismes de l'aorte. Les deux méthodes sont précises et non invasives. Elles ont deux intérêts majeurs: confirmation du diagnostic dans les cas douteux et surveillance des petits anévrismes stables. Des examens répétés peuvent déceler des modifications de la morphologie de l'anévrisme et peuvent donc poser l' indication opératoire chez des patients à haut risque. Les deux techniques permettent, de plus, de détecter les faux anévrismes dans les cas où l' examen physique reste douteux. Elle sont donc valables, tant pour poser le diagnostic que pour suivre l'évolution des anévrismes aortiques. Elles ne doivent cependant pas être utilisées dans chaque cas; elles complètent l' examen physique et doivent donc être demandées uniquement lorsqu'elles peuvent être utiles au malade.

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Copyright information

© Société Internationale de Chirurgie 1980

Authors and Affiliations

  • Robert R. Hattery
    • 2
    • 1
  • Byrn WilliamsonJr.
    • 2
    • 1
  • Robert B. Wallace
    • 2
    • 1
  1. 1.Department of SurgeryGeorgetown University Medical SchoolWashington, D.C.USA
  2. 2.Department of Diagnostic RadiologyMayo ClinicRochesterUSA

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