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Tendencia a la hipotensión arterial y destaca en la exploración física una masa abdominal en mesogastrio, pulsátil y de cerca de 10<span class="elsevierStyleHsp" style=""></span>cm de diámetro.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Se realiza ecografía <span class="elsevierStyleItalic">point of care ultrasound</span> (POCUS) objetivándose un aneurisma de aorta abdominal infrarrenal, de 11<span class="elsevierStyleHsp" style=""></span>cm de diámetro, con una luz interna de 4<span class="elsevierStyleHsp" style=""></span>cm (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>), ventral a la zona hiperecogénica con sombra posterior que es la columna vertebral (V). Se pueden apreciar los signos característicos de un aneurisma de aorta trombosado, con un flujo turbulento en su interior en forma de «humo en remolino», y a su alrededor la zona trombosada de hasta 7<span class="elsevierStyleHsp" style=""></span>cm de grosor (T). En el video asociado se puede valorar la pulsatilidad de la aorta y el flujo turbulento en el interior de la luz (<a class="elsevierStyleCrossRef" href="#sec0045">Video</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0030" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Anexo A" "titulo" => "Material adicional" "identificador" => "sec0040" ] ] ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 429 "Ancho" => 1367 "Tamanyo" => 64333 ] ] ] 1 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 2005080 "Video" => array:2 [ "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/02105691/0000004800000010/v1_202409270613/S0210569124000664/v1_202409270613/es/main.assets" "Apartado" => array:4 [ "identificador" => "440" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes en medicina intensiva" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02105691/0000004800000010/v1_202409270613/S0210569124000664/v1_202409270613/es/main.pdf?idApp=WMIE&text.app=https://www.medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569124000664?idApp=WMIE" ]