A pitfall in the echographic diagnosis of abdominal aortic aneurysm: when para-aortic lymph nodes are the trick

Submitted: January 4, 2023
Accepted: February 14, 2023
Published: February 22, 2023
Abstract Views: 684
PDF: 219
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The abdominal aortic aneurysm (AAA) is a potentially fatal asymptomatic disease. It progresses silently with clinical complications that, when they occur, constitute a very serious event, frequently resulting in the patient's exitus. As a result, early detection and treatment are critical because the right therapeutic strategy can halt the disease's natural progression. AAA is frequently discovered as an incidental finding during an abdominal ultrasound or a plain X-ray of the abdomen, which is required for other pathologies. The primary diagnostic tool for AAA identification is abdominal B-mode ultrasound. It is cheap, widely available, non-invasive, and has high diagnostic sensitivity. However, this diagnostic tool may fail in rare cases due to misleading anatomical findings. We present an unusual flaw in the echographic AAA evaluation that should be considered during the diagnostic work-up.



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How to Cite

Natale, Francesco, Riccardo Molinari, Simona Covino, Roberta Alfieri, Mirella Limatola, Lorenzo De Luca, Enrica Pezzullo, Andrea Izzo, and Giovanni Cimmino. 2023. “A Pitfall in the Echographic Diagnosis of Abdominal Aortic Aneurysm: When Para-Aortic Lymph Nodes Are the Trick”. Monaldi Archives for Chest Disease 94 (1). https://doi.org/10.4081/monaldi.2023.2516.