Unusual cause of a pulsatile abdominal mass.
A case of pulsation in the abdomen induced by a maladjusted cardiac pacemaker-CRT (cardiac resynchronisation therapy) with an implantable defibrillator is presented. The CRT stimulated the diaphragm causing a repetitive contraction synchronised with the heart beat, giving the picture of an abdominal aortic aneurysm.
Akrawi
Hawar
H
Department of Emergency Medicine, Southampton General Hospital, Southamptom, UK . hakrawi@yahoo.com
Hulbert
Diana
D
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis; D017147:Defibrillators, Implantable; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D011475:Prosthesis Failure; D011674:Pulse; D011860:Radiography, Abdominal