Incidence of significant extravascular findings in patients undergoing computed tomographic angiography of the whole aorta or abdominal aorta
and | Jan 31, 2017
About this article
Article Category: Brief communication (Original)
Published Online: Jan 31, 2017
Page range: 551 - 557
DOI: https://doi.org/10.5372/1905-7415.0904.426
Keywords
© 2015 Khaninthorn Eursurmpong, Thitinan Chulroek
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
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Significant extravascular findings that provide alternative explanations of acute symptoms who underwent computed tomographic angiography (CTA) of the whole aorta or the abdominal aorta
| Significant extravascular findings | CTA whole aorta n = 36 (%) | CTA abdominal aorta n = 5 (%) |
|---|---|---|
| 8 (22) | 1 (20) | |
| Abnormal pancreatic lesions | 5 (14) | |
| 5 (14) | ||
| 3 (8) | ||
| Retroperitoneal abscess | 3 (8) | |
| Retroperitoneal and mediastinal hematoma | 2 (6) | 2 (40) |
| Internal solid or hollow viscus organ injury (trauma) | 1 (3) | 1 (20) |
| Intramuscular abscess | 1 (3) | |
| Lung mass | 1 (3) | |
| Abscess at right clavicle | 1 (3) | |
| Other findings | 6 (17) | 1 (20) |
Significant extravascular findings that required follow up or further investigation among patients underwent CTA of whole aorta and CTA of abdominal aorta.
| Significant extravascular findings | CTA whole aorta n = 70 (%) | CTA abdominal aorta n = 15 (%) |
|---|---|---|
| 18 (26) | – | |
| 10 (14) | 5 (33) | |
| Significantly enlarged lymph node | 9 (13) | 1 (7) |
| Adrenal nodule | 5 (7) | 1 (7) |
| Mediastinal mass or lesion | 5 (7) | – |
| Abnormality of kidney, urinary bladder or ureter | 5 (7) | – |
| Bowel lesion or abnormal wall thickening | 4 (6) | 2 (13) |
| Ovarian lesion | 4 (6) | – |
| Suspicious bone lesion | 3 (4) | 1 (7) |
| Biliary tract abnormality | 2 (3) | – |
| Pancreatic lesion, mass or cyst | 2 (3) | |
| Thyroid lesion | 2 (3) | |
| Retroperitoneal lesion | – | 2 (13) |
| Splenic lesion | – | 1 (7) |
| Other | 1 (1%) | 1 (7) |
Significant vascular findings found in patients underwent CTA whole aorta and CTA abdominal aorta.
| Significant vascular findings | n = 150 (%) |
|---|---|
| 58 (39) | |
| 25 (17) | |
| Arterial occlusion | 19 (13) |
| Penetrating atherosclerotic ulcer | 14 (9) |
| Finding of aortitis and mycotic aneurysm | 7 (5) |
| Intramural hematoma | 6 (4) |
| Endoleak | 6 (4) |
| Dilatation of aorta, aortic root, sinotubular junction | 6 (4) |
| Graft or stent kinking | 2 (1) |
| Others | 7 (5) |
Demographic data of patients who underwent computed tomographic angiography (CTA) of the whole aorta or the abdominal aorta
| CTA of whole aorta n (%) | CTA of abdominal aorta n (%) | |
|---|---|---|
| Number of patients | 187 (84%) | 35 (16%) |
| Male | 120 (64%) | 16 (46%) |
| Female | 67 (36%) | 19 (54%) |
| Mean age (range) | 62.8 (16-97) | 65.3 (19-97) |
Clinical manifestation of patients with extravascular findings that provide an alternative explanation of acute symptoms who underwent computed tomographic angiography of the whole aorta or abdominal aorta
| Clinical manifestation | n = 35 (%) |
|---|---|
| Abdominal pain | 12 (34) |
| Traumatic injury with chest pain | 8 (23) |
| Chest pain | 3 (9) |
| Traumatic injury with abdominal pain | 2 (6) |
| Abdominal mass | 2 (6) |
| Back pain | 2 (6) |
| Dyspnea | 2 (6) |
| Sepsis | 1 (3) |
| Dropping hematocrit level | 1 (3) |
| Hemoptysis | 1 (3) |
| Leg edema | 1 (3) |