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{ "pk": 1601, "title": "A Man with Severe, Left Lower Quadrant Abdominal Pain", "subtitle": null, "abstract": "<p><b>Case presentation:</b> An 84-year-old man presented to the emergency department with sudden, left lower quadrant cramping pain. Because critical hypotension was noted, point-of-care ultrasonography (POCUS) was performed immediately. The study revealed a pulsatile flow extravasating from the left common iliac artery into the left psoas muscle with hypoechoic para-aortic fluid collection. </p><p><b>Discussion:</b> Common iliac artery rupture is rare and has nonspecific clinical presentations. A quick disposition can be made with a combination of clinical manifestations and POCUS results.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Common iliac artery rupture" }, { "word": "diagnostic ultrasound" }, { "word": "POCUS" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3nq5c6fm", "frozenauthors": [ { "first_name": "Ta-Jen", "middle_name": "", "last_name": "Wen", "name_suffix": "", "institution": "Tri-Service General Hospital, National Defense Medical Center, Department of Emergency Medicine, Taipei, Taiwan", "department": "" }, { "first_name": "Yu-Te", "middle_name": "", "last_name": "Su", "name_suffix": "", "institution": "Tri-Service General Hospital, National Defense Medical Center, Department of Emergency Medicine, Taipei, Taiwan", "department": "" }, { "first_name": "Hung-Yen", "middle_name": "", "last_name": "Ke", "name_suffix": "", "institution": "Tri-Service General Hospital, National Defense Medical Center, Division of Cardiovascular Surgery, Department of Surgery, Taipei, Taiwan", "department": "" }, { "first_name": "Kuan-Cheng", "middle_name": "", "last_name": "Lai", "name_suffix": "", "institution": "Chiayi Branch, Taichung Veterans General Hospital, Department of Emergency Medicine, Chiayi, Taiwan", "department": "" } ], "date_submitted": "2023-08-09T18:39:30.556000Z", "date_accepted": "2023-08-09T18:44:08.066000Z", "date_published": "2023-08-14T16:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1601/galley/1145/download/" } ] }