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250<br />
ABDOMINAL ULTRASOUND<br />
are available, ultrasound can be a time-saving triage<br />
tool to exclude an aneurysm from the differential<br />
diagnosis of abdominal pain. Suitably trained<br />
emergency department clinical staff can perform<br />
this quickly and successfully. 19 Rupture of an aortic<br />
aneurysm is a catastrophic event, and although an<br />
urgent contrast-enhanced CT can be helpful,<br />
emergency surgery based on clinical findings<br />
should not be delayed by imaging investigations.<br />
Ultrasound is also the first investigation of<br />
choice for demonstrating suspected psoas abscess<br />
or haematoma 20 (Fig. 10.6).<br />
SAG RT<br />
Figure 10.6<br />
A large, right-sided psoas haematoma.<br />
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