• DOI:10.1097/00004424-198407000-00003
• Corpus ID: 33734344

"Pulsatile" abdominal mass.

@article{Huber1984PulsatileAM,
  title={"Pulsatile" abdominal mass.},
  author={Dominik J. Huber and John M. Braver and Paul Clarke},
  journal={Investigative radiology},
  year={1984},
  volume={19 4},
  pages={
          250-3
        }
}

• D. J. Huber, J. Braver, P. Clarke
• Published 1 July 1984
• Medicine
• Investigative radiology

Prepare bowels (empty) Antibiotics (for abdo surgery, amp+gent+flagg) Heparin (for vessel clamping) MONITOR INTRAOPERATIVELY: Urine output ECG Arterial line pressure + saturation Trans-oesophageal echocardiography Three major approaches: TRANSPERITONEAL through anterior abdo wall RETROPERITONEAL through left flank ENDOVASCULAR through femoral artery (need clear arteries for this!) OUTCOMES of Surgery: 15 to 40% ends up in complications 8-15 day recovery in hospital, 2-3months of recovery at home Differentials: Abdominal wall swelling eg lipoma or hematoma epigastric hernia (@ linea alba) divarication of rectus abdominus incisional hernia intra-abdominal mass, such as Gastric tumour Pancreatic tumour Pancreatic pseudocyst Colonic tumour no movement with resp Diverticulitis assoc. with hematochesia Hepatic tumour moves with respiration, dull to percussion Renal tumour: moves with respiration, hollow to percussion Retroperitoneal lymph nodes