Use of bedside ultrasound in identification of a slowly enlarging abdominal mass as a consequence of late femorofemoral crossover bypass detachment

Abstract

At bedside ultrasound, the mass resulted to have fluid content, with an active flow, confirmed by colour Doppler. A contrast-enhanced computed tomography scan was performed, showing a large pelvic haematoma with the femorofemoral graft within. The patient was urgently brought to the operatory room. The hematoma was evacuated, and a new bypass graft was placed. Conclusion Bedside ultrasound made it possible to recognize the fluid nature of a large slowly growing abdominal mass that resulted to be the consequence of the detachment of the distal end of a Femorofemoral crossover bypass, and thus to address and speed up diagnostic workout and treatment.