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Imagen ecográfica característica de aneurisma de aorta infrarrenal trombosado" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "626" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Juan Francisco Muñoz Moreno, María Carmen Espinosa González, Alfonso Peral Santos" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Juan Francisco" "apellidos" => "Muñoz Moreno" "email" => array:1 [ 0 => "juanfran9juanfran9@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "María Carmen" "apellidos" => "Espinosa González" ] 2 => array:2 [ "nombre" => "Alfonso" "apellidos" => "Peral Santos" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Medicina Intensiva, Hospital General Universitario de Ciudad Real, Ciudad Real, España" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Abdominal POCUS. Characteristic ultrasound image of a giant thrombosed infrarenal aortic aneurysm" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => 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 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0015" class="elsevierStylePara elsevierViewall">Varón de 70 años que acude a servicio de urgencias por dolores abdominales de repetición, asociados al esfuerzo. 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" ]