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239 Possible Causes for Abdominal Bruit

  • Portal Hypertension

    Physical examination revealed a soft abdomen, with no abdominal bruit, no pulsatile abdominal mass, and no stigmata of chronic liver disease.[] 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.[]

  • 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[] […] 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[] .  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[]

  • 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.[] Patients with median arcuate ligament syndrome present with postprandial abdominal pain, nausea, vomiting, weight loss, and abdominal bruit.[] […] pain may be related to meals, may be accompanied by weight loss, and may be associated with an abdominal bruit heard by a clinician.[]

  • Malignant Neoplasm of 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[]

  • Renal Artery Aneurysm

    Otherwise, patients may present with arterial hypertension, pain, hematuria , abdominal pulsatile mass or abdominal bruit.[] In rare cases, a pulsatile abdominal mass (only seen in very large aneurysms) and vascular bruits might be observed.[] Physical examination was unremarkable; the patient was apyrexial and no bruits were present on his flanks.[]

  • Splenic Artery Aneurysm

    Physical examination may be normal, but some doctors note abdominal bruit on auscultation.[] (see the image below): There may be an abdominal bruit, but the majority of cases are showing normal physical examinations especially with asymptomatic patients.[] He had no palpable abdominal mass, tenderness nor vascular bruit. Laboratory test results were within normal limits.[]

  • Renal Hypertension

    Presence of an abdominal bruit; iii. Hypertension resistant to 3 drugs; iv.[] An enlarged liver may be palpated, and an abdominal bruit may be auscultated.[] 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[]

  • Hepatic Artery Aneurysm

    On examination abdominal bruit or a pulsatile mass may be found.[] Physical examination may reveal a pulsatile mass or abdominal bruit, but is usually normal.[] Otherwise they may present with especially abdominal pain, nausea, vomiting and as a pulsatile mass or abdominal bruit.[]

  • 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.[] The abdomen is scaphoid and soft and abdominal bruit is present in almost 80% of the patients.[] Signs Abdominal bruit (60-90%) Fecal Occult Blood Test ing (10%) VI. Imaging: Diagnosis Angiography (gold standard) MRA Abdomen Ultrasound duplex VII.[]

  • 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![] Chronic mesenteric ischemia • Usually Women • Younger • Smokers • 2/3 with Other Vascular Disease – Half with abdominal bruit • Classic Symptoms – Post-prandial Pain – Weight[] Examination may show vague abdominal tenderness disproportionate to the severity of the pain, an abdominal bruit and signs of generalised cardiovascular disease.[]

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