Possible Causes for abdominal bruit Third Trimester Pregnancy The concomitant phenomenon of a third trimester pregnancy with a significant degree of pelvic organ prolapse is extremely rare. We report on a patient with pelvic organ prolapse complicating third trimester pregnancy treated by concomitant cesarean hysterectomy and abdominal sacrocolpopexy. A 30-year-old woman,[…] [ncbi.nlm.nih.gov] Coronary Atherosclerosis Bruits can be heard easily with a stethoscope in the he carotid artery in the neck, the abdominal aorta, and the femoral artery .Check sensation in the feet for numbness, [medicinenet.com] Arteriosclerosis Examination revealed dissociation of blood pressures of both arms (right 87/44 mm Hg, left 129/76 mm Hg) and bruits on the abdominal aorta. [jrheum.org] […] neurologic deficits Peripheral vascular disease - Decreased peripheral pulses, peripheral arterial bruits, pallor, peripheral cyanosis, gangrene, and ulceration Abdominal [emedicine.com] Abdominal aortic aneurysm: Pulsatile abdominal mass, peripheral embolism, and circulatory collapse Atheroembolism: Livedo reticularis, gangrene, cyanosis, ulceration, digital [emedicine.com] Abdominal Aortic Aneurysm […] lower extremities, pain in the chest, lower back or scrotum, and abdominal bruits. [clinicaltrials.gov] A continuous abdominal bruit and a palpable abdominal thrill are suggestive of an aortovenous fistula. [saem.org] As the blood stream narrows again past the aneurysm it causes a rushing sound called a systolic bruit. [livestrong.com] Acute Mesenteric Ischemia bruit caused by stenosis of mesenteric vessels A patient typically presents with postprandial abdominal pain ( abdominal angina ), food aversion, and weight loss! [amboss.com] Chronic mesenteric ischemia • Usually Women • Younger • Smokers • 2/3 with Other Vascular Disease – Half with abdominal bruit • Classic Symptoms – Post-prandial Pain – Weight [slideshare.net] Examination may show vague abdominal tenderness disproportionate to the severity of the pain, an abdominal bruit and signs of generalised cardiovascular disease. [patient.info] Hepatocellular Carcinoma Our patient presented in the third trimester with features suggestive of hepatocellular carcinoma (large nodular liver with a bruit and significant weight loss). [panafrican-med-journal.com] […] examination may reveal hepatomegaly, which can be smooth or hard and irregular, abdominal distension and splenomegaly due to portal hypertension a systolic liver bruit may [geekymedics.com] The diagnosis was confirmed with abdominal ultrasound and markely elevated alpha fetoprotein (AFP) ie 50,000 KU/L bearing in mind that AFP is also raised in pregnancy and [panafrican-med-journal.com] Abdominal Angina An abdominal bruit may be heard in some patients. One may also find features of peripheral vascular disease with diminished pulses in the leg. [ncbi.nlm.nih.gov] Signs Abdominal bruit (60-90%) Fecal Occult Blood Test ing (10%) VI. Imaging: Diagnosis Angiography (gold standard) MRA Abdomen Ultrasound duplex VII. [fpnotebook.com] The abdomen is scaphoid and soft and abdominal bruit is present in almost 80% of the patients. [tandurust.com] Ruptured Aortic Aneurysm Careful examination of all patients with a ruptured aneurysm, particularly listening for an abdominal bruit, will usually allow the diagnosis of aortocaval rupture to be made [ncbi.nlm.nih.gov] […] examination as pulsatile abdominal masses May be limited secondary to patient body habitus and size of aneurysm Abdominal bruits are uncommon findings Complications of unruptured [coreem.net] Clinically, a patient with an aortocaval fistula presents with a classical triad of abdominal or back pain, a pulsatile abdominal mass, and a continuous bruit on abdominal [slideshare.net] Malignant Neoplasm of the Pancreas If the tumor involves the body and tail of the pancreas, an abdominal bruit may be heard in the left upper quadrant (indicating involvement of the splenic artery) and a large [medical-dictionary.thefreedictionary.com] Renal Hypertension Presence of an abdominal bruit; iii. Hypertension resistant to 3 drugs; iv. [guidelines.hypertension.ca] One remarkable finding in nearly 50% of affected individuals is an abdominal bruit, especially when present during both diastole and systole. [symptoma.com] However, up to 10% of patients with essential primary hypertension may have an abdominal bruit and innocent abdominal bruits are present in a minority of healthy younger patients [patient.info] Pancreatic Adenocarcinoma In this case report we detail the treatment of a patient with pancreatic ductal adenocarcinoma and a solitary liver metastasis who received nine cycles of FOLFIRINOX therapy with favourable response. The patient subsequently underwent synchronous distal pancreatectomy and hepatectomy with an R0 resection[…] [ncbi.nlm.nih.gov] Hyperplasia of the Renal Artery On examination, there was an audible abdominal bruit. [clinical.netforum.healthcare.philips.com] Renal FMD Clinical features of renal artery stenosis Secondary hypertension Abdominal bruit Symptoms of chronic kidney disease Flank or abdominal pain Cerebrovascular FMD [amboss.com] An abdominal bruit (a rubbing sound heard with a stethoscope placed on the abdomen suggesting a narrowed vessel) along with high blood pressure. [endovascularwa.com.au] Hepatic Artery Aneurysm On examination abdominal bruit or a pulsatile mass may be found. [jpgmonline.com] Otherwise they may present with especially abdominal pain, nausea, vomiting and as a pulsatile mass or abdominal bruit. [atmph.org] There are no abdominal masses or bruits. He has normal upper and lower extremity pulses, and there is no enlargement of the peripheral pulses. [thoracickey.com] Splenic Artery Aneurysm Physical examination may be normal, but some doctors note abdominal bruit on auscultation. [newhealthadvisor.com] (see the image below): There may be an abdominal bruit, but the majority of cases are showing normal physical examinations especially with asymptomatic patients. [intechopen.com] He had no palpable abdominal mass, tenderness nor vascular bruit. Laboratory test results were within normal limits. [edoriumjournals.com] Coarctation of the Aorta […] systolic-diastolic bruit; bruits over other arteries (carotid – atherosclerotic or fibromuscular dysplasia), femoral Renal Duplex Doppler ultrasound; MRA; abdominal CT Bilateral [doi.org] A soft bruit may be heard over the coarctation site. Diagnosis is by echocardiography or by CT or MR angiography. [merckmanuals.com] bruit; left thoracotomy scar (postoperative) Echocardiogram Thoracic and abdominal CT angiogram or MRA Primary hyperpara-thyroidism S5.4-14 Rare Hypercalcemia Usually none [doi.org] Median Arcuate Ligament Syndrome Patients with MALS are often middle-aged females presenting with a triad of postprandial epigastric pain, weight loss and abdominal bruit. [ncbi.nlm.nih.gov] […] loss, and abdominal bruit. [ncbi.nlm.nih.gov] The abdominal pain may be related to meals, may be accompanied by weight loss, and may be associated with an abdominal bruit heard by a clinician. [en.wikipedia.org] Aortic Dilation Abdominal auscultation may reveal the presence of a bruit. The accuracy of abdominal palpation is reduced by obesity, abdominal distention, and smaller aneurysm size. [aafp.org] Hepatitis C […] signs: Paraumbilical hernia, ascites, caput medusae, hepatosplenomegaly, abdominal bruit Ankle edema Scant body hair Skin signs: Spider nevi, petechiae, excoriations due [emedicine.medscape.com] […] decompensated liver disease include the following: Head signs: Icteric sclera, temporal muscle wasting, enlarged parotid gland, cyanosis Fetor hepaticus Gynecomastia, small testes Abdominal [emedicine.medscape.com] Aortic Arteriosclerosis The most common site for an arterial aneurysm is the abdominal aorta. [medical-dictionary.thefreedictionary.com] The chief signs of an arterial aneurysm are the formation of a pulsating tumor, and often a bruit (aneurysmal bruit) heard over the swelling. [medical-dictionary.thefreedictionary.com] Portal Hypertension Physical examination revealed a soft abdomen, with no abdominal bruit, no pulsatile abdominal mass, and no stigmata of chronic liver disease. [ncbi.nlm.nih.gov] A 41-year-old man with previous medical history of recurrent, alcoholic pancreatitis presented with several episodes of hematemesis and abdominal pain for 48 hours. [ncbi.nlm.nih.gov] Hepatic Arteriovenous Malformation Hepatic AVMs can lead to portal hypertension, biliary disease, and high output cardiac failure secondary to shunting between the hepatic artery and vein. 18 A hepatic bruit [aafp.org] 17 AVMs and focal nodular hyperplasia in the liver may be detected during evaluation of an abnormal liver enzyme profile or as an incidental finding during an unrelated abdominal [aafp.org] Renal Artery Stenosis Clinical examination showed an abdominal bruit and weak femoral pulses. [ncbi.nlm.nih.gov] The diagnosis of RAS was suspected after physical examination revealed an abdominal bruit. [ncbi.nlm.nih.gov] An abdominal bruit on physical exam can be a helpful clue. [ncbi.nlm.nih.gov] Leriche Syndrome Open Access Clinical image First Online: 22 August 2008 A 45-year-old man with a past history of diabetes mellitus, coronary artery disease with two-vessel disease, and peripheral arterial occlusive disease with gangrene of the left big toe, status post amputation, presented to the emergency department. He was a[…] [dx.doi.org] Leaking Aortic Aneurysm Since aneurysms that produce AV fistulas usually are large, nearly 90% are palpable in the abdomen. 75 An abdominal bruit can be heard in 75% of patients, and 25% also will [ahcmedia.com] […] or back pain, a pulsatile abdominal mass, and a continuous bruit on abdominal auscultation. 43 45 46 This triad is reported in 5090% of patients in one series. 46 However [zarinslab.stanford.edu] On physical examination, a palpable and pulsatile abdominal mass can be noted. [en.wikipedia.org] Renal Artery Aneurysm Otherwise, patients may present with arterial hypertension, pain, hematuria, abdominal pulsatile mass or abdominal bruit. [urology-textbook.com] In rare cases, a pulsatile abdominal mass (only seen in very large aneurysms) and vascular bruits might be observed. [symptoma.com] Physical examination was unremarkable; the patient was apyrexial and no bruits were present on his flanks. [invasivecardiology.com] Aortic Disease Can J Cardiol. 2016 Jan;32(1):124-30. doi: 10.1016/j.cjca.2015.10.020. Epub 2015 Nov 5. Author information 1 Division of Cardiology, Department of Paediatrics, The Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada. Electronic address: timothy.bradley@sickkids.ca. 2[…] [ncbi.nlm.nih.gov] Renal Arteriovenous Fistula A case is reported of a woman with long-standing progressive hypertension and an abdominal bruit who on angiography demonstrated fibromuscular dysplasia of the right renal [ncbi.nlm.nih.gov] bruit. [ncbi.nlm.nih.gov] However, dyspnea ameliorated, which was associated with decreased cardiac murmur, subsided abdominal bruit, normalization of the lowered diastolic pressure, and better renal [ncbi.nlm.nih.gov] Mesenteric-Portal Fistula The abdominal bruit disappeared and the patient had a rapid clinical recovery with resolution of the ascites. [ncbi.nlm.nih.gov] All patients had abdominal bruits. Two patients underwent primary repair. [jamanetwork.com] The main clinical manifestations are upper abdominal pain, diarrhoea, oesophageal variceal bleeding and abdominal bruit. [pmj.bmj.com] Cholesterol Embolism Two cases of spontaneous cholesterol embolism, which followed different clinical courses, acute and chronic renal failure, are presented and histopathological lesions are compared. Both cases were diagnosed as cholesterol embolism post-mortem. Case 1 (a 66-year-old man) had acute onset of illness with fever,[…] [ncbi.nlm.nih.gov] Renovascular Hypertension bruit. [ncbi.nlm.nih.gov] Presence of an abdominal bruit; iii. Hypertension resistant to 3 drugs; iv. [guidelines.hypertension.ca] bruits, peripheral vascular disease, late– age 60, onset of HTN Clinical Hemorrhage in cerebellum, pons, internal capsule, basal ganglia Treatment–medical Empirical, a function [medical-dictionary.thefreedictionary.com]
