Abdominal Bruit Causes - Wikidoc

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Overview

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ogheneochuko Ajari, MB.BS, MS [2]

Overview

An abdominal bruit is a swishing, or washing machine like sound heard when the diaphragm of stethoscope is placed over the spleen, renal arteries, or abdominal aorta. It is often indicative of partial occlusion of a vessel, as can be observed in renal artery stenosis or atherosclerosis of the abdominal vasculature.

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

Common Causes

  • Abdominal aortic aneurysm
  • Anemia
  • Arteriovenous fistula
  • Atherosclerosis
  • Cirrhosis
  • Renal artery stenosis[1]

Causes by Organ System

Cardiovascular Abdominal aortic aneurysm, abdominal friction rub, aneurysm of the left common iliac artery, aortic aneurysm, aorto-caval fistula, arteriovenous fistula, arteriovenous malformation, atherosclerosis, Cruveilhier-Baumgarten murmur, fibromuscular dysplasia, high output cardiac failure, hypertension, infantile hemangiomas, pseudoaneurysm of the right common iliac artery, renal artery dissection, renal artery stenosis, renovascular disease, secondary hypertension, splanchnic syndrome, Takayasu arteritis, tricuspid regurgitation, vasculitis
Chemical / poisoning No underlying causes
Dermatologic Vasculitis
Drug Side Effect No underlying causes
Ear Nose Throat No underlying causes
Endocrine Hyperthyroidism
Environmental No underlying causes
Gastroenterologic Alcoholic hepatitis, celiac artery compression syndrome, celiac artery stenosis, cholangiocarcinoma, cirrhosis, hepatocellular carcinoma, hepatoma, liver hemangioma, splanchnic syndrome, superior mesenteric artery stenosis, superior mesenteric artery syndrome, turbulence of the splenic artery
Genetic No underlying causes
Hematologic No underlying causes
Iatrogenic No underlying causes
Infectious Disease No underlying causes
Musculoskeletal / Ortho No underlying causes
Neurologic Fibromuscular dysplasia
Nutritional / Metabolic No underlying causes
Obstetric/Gynecologic Pregnancy
Oncologic Cholangiocarcinoma, hepatocellular carcinoma, hepatoma, infantile hemangioma, liver hemangioma, liver metastasis
Opthalmologic No underlying causes
Overdose / Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal / Electrolyte Fibromuscular dysplasia, renal artery dissection, renal artery stenosis, renovascular disease
Rheum / Immune / Allergy Takayasu's arteritis, vasculitis
Sexual No underlying causes
Trauma Blunt trauma to the common femoral artery , seat belt aorta
Urologic No underlying causes
Miscellaneous Abdominal friction rub

Causes in Alphabetical Order

  • Abdominal aortic aneurysm[2][3][4]
  • Abdominal friction rub
  • Alcoholic hepatitis
  • Aneurysm of the left common iliac artery[5]
  • Aortic aneurysm
  • Aorto-caval fistula [2][3]
  • Arteriovenous fistula[6][7][8]
  • Arteriovenous malformation
  • Atherosclerosis[9]
  • Blunt trauma to the common femoral artery [10]
  • Celiac artery compression syndrome[9]
  • Celiac artery stenosis
  • Cholangiocarcinoma
  • Cirrhosis
  • Cruveilhier-Baumgarten murmur
  • Fibromuscular dysplasia [11]
  • Hepatocellular carcinoma [12][13]
  • Hepatoma
  • High output cardiac failure[14]
  • Hypertension
  • Hyperthyroidism
  • Infantile hemangiomas
  • Liver hemangioma
  • Liver metastasis
  • Pregnancy
  • Pseudoaneurysm of the right common iliac artery [15]
  • Renal artery dissection [16]
  • Renal artery stenosis [17]
  • Renovascular disease [11]
  • Seat belt aorta [18]
  • Secondary hypertension
  • Splanchnic syndrome [19]
  • Superior mesenteric artery stenosis
  • Superior mesenteric artery syndrome[20]
  • Takayasu arteritis
  • Tricuspid regurgitation
  • Turbulence of the splenic artery
  • Vasculitis

References

  1. ↑ Webb TN, Ramratnam M, Evans RW, Orchard T, Pacella J, Erkan E (2014). "Atherosclerotic renal artery stenosis as a cause for hypertension in an adolescent patient". Pediatr Nephrol. 29 (8): 1457–60. doi:10.1007/s00467-014-2774-y. PMID 24531663.CS1 maint: Multiple names: authors list (link)
  2. ↑ 2.0 2.1 Zaniewski M, Ludyga T, Kazibudzki M, Kowalewska-Twardela T (2002). "[Aorto-caval fistula as a results of abdominal aortic aneurysm rupture imitating acute renal insufficiency]". Wiad Lek. 55 (11–12): 785–8. PMID 12715363.CS1 maint: Multiple names: authors list (link)
  3. ↑ 3.0 3.1 Davidović L, Petrović P, Lotina S, Colić M, Vukotić A, Nesković AN (1997). "[Aorto-caval fistula due to abdominal aortic aneurysm rupture]". Srp Arh Celok Lek. 125 (11–12): 370–4. PMID 9480573.CS1 maint: Multiple names: authors list (link)
  4. ↑ Petetin L, Pelouze GA, Mercier V, Caraes B, Vaislic C, Evrard C; et al. (1987). "Rupture of abdominal aortic aneurysm into the inferior vena cava: a study of seven cases". Ann Vasc Surg. 1 (5): 572–7. doi:10.1016/S0890-5096(06)61442-8. PMID 3504699.CS1 maint: Explicit use of et al. (link) CS1 maint: Multiple names: authors list (link)
  5. ↑ Fokou M, Teyang A, Fongang E, Kamga J, Binam F, Sandmann W (2011). "Surgical repair of a giant isolated inflammatory aneurysm of the left common iliac artery". Ann Vasc Surg. 25 (5): 700.e1–4. doi:10.1016/j.avsg.2010.09.030. PMID 21514111.CS1 maint: Multiple names: authors list (link)
  6. ↑ Goto T, Enmoto T, Akimoto K (2009). "Diagnosis of an ilio-iliac arteriovenous fistula by multidetector row computed tomography and surgical repair". Interact Cardiovasc Thorac Surg. 8 (3): 387–9. doi:10.1510/icvts.2008.198945. PMID 19074455.CS1 maint: Multiple names: authors list (link)
  7. ↑ Boonstra RH, van Tol CA, Coster E, Wisselink W (2006). "[Two patients with an initially unrecognised iatrogenic arteriovenous fistula and successful endovascular therapy following lumbar herniotomy and laparoscopic cholecystectomy]". Ned Tijdschr Geneeskd. 150 (6): 323–8. PMID 16503025.CS1 maint: Multiple names: authors list (link)
  8. ↑ Lim RP, Stella DL, Dowling RJ, Campbell WA, Hebbard GS (2006). "Iliocaval arteriovenous fistula presenting with multiple organ failure". Australas Radiol. 50 (4): 381–5. doi:10.1111/j.1440-1673.2006.01606.x. PMID 16884429.CS1 maint: Multiple names: authors list (link)
  9. ↑ 9.0 9.1 van Noord D, Kuipers EJ, Mensink PB (2009). "Single vessel abdominal arterial disease". Best Pract Res Clin Gastroenterol. 23 (1): 49–60. doi:10.1016/j.bpg.2008.11.012. PMID 19258186.CS1 maint: Multiple names: authors list (link)
  10. ↑ Carter SL, McKenzie JG, Hess DR (1981). "Blunt trauma to the common femoral artery". J Trauma. 21 (2): 178–9. PMID 7206014.CS1 maint: Multiple names: authors list (link)
  11. ↑ 11.0 11.1 McAllister MD, Thompson WC, Pabian CJ (1992). "Percutaneous angioplasty for renovascular hypertension due to fibromuscular dysplasia". Am Fam Physician. 46 (4): 1225–30. PMID 1329461.CS1 maint: Multiple names: authors list (link)
  12. ↑ Kew MC, Dos Santos HA, Sherlock S (1971). "Diagnosis of primary cancer of the liver". Br Med J. 4 (5784): 408–11. PMC 1799483. PMID 5124443.CS1 maint: Multiple names: authors list (link) CS1 maint: PMC format (link)
  13. ↑ Ashraf SJ, Arya SC, el-Sayed M, Sahay R, Parande CM, Tajuddin MR; et al. (1986). "A profile of primary hepatocellular carcinoma patients in the Gizan Area of Saudi Arabia". Cancer. 58 (9): 2163–8. PMID 2428466.CS1 maint: Explicit use of et al. (link) CS1 maint: Multiple names: authors list (link)
  14. ↑ Ozaki K, Oda H, Hatada K, Sakai K, Takahashi K, Miida T; et al. (2003). "Highly vascular pelvic tumor causing high-output heart failure because of massive arteriovenous shunting: a case report". Circ J. 67 (6): 554–5. PMID 12808277.CS1 maint: Explicit use of et al. (link) CS1 maint: Multiple names: authors list (link)
  15. ↑ Vijayalakshmi IB, Agrawal N, Narasimhan C, Kavya M, Bagi V, Manjunath CN (2014). "Percutaneous closure of pseudoaneurysm of common iliac artery with amplatzer duct occluder II". Cardiovasc Interv Ther. 29 (1): 76–81. doi:10.1007/s12928-013-0195-7. PMID 23852803.CS1 maint: Multiple names: authors list (link)
  16. ↑ Slavis SA, Hodge EE, Novick AC, Maatman T (1990). "Surgical treatment for isolated dissection of the renal artery". J Urol. 144 (2 Pt 1): 233–7. PMID 2142739.CS1 maint: Multiple names: authors list (link)
  17. ↑ Besarab A, Brown RS, Rubin NT, Salzman E, Wirthlin L, Steinman T; et al. (1976). "Reversible renal failure following bilateral renal artery occlusive disease. Clinical features, pathology, and the role of surgical revascularization". JAMA. 235 (26): 2838–41. PMID 946990.CS1 maint: Explicit use of et al. (link) CS1 maint: Multiple names: authors list (link)
  18. ↑ Randhawa MP, Menzoian JO (1990). "Seat belt aorta". Ann Vasc Surg. 4 (4): 370–7. doi:10.1007/BF02000502. PMID 2194560.
  19. ↑ Geelkerken RH, van Bockel JH (1997). "The splanchnic syndrome. Diagnosis and indications for treatment". Acta Chir Belg. 97 (2): 69–75. PMID 9161587.
  20. ↑ Reed JK, McGiin RF, Gorman JF, Thomford NR (1986). "Traumatic mesenteric arteriovenous fistula presenting as the superior mesenteric artery syndrome". Arch Surg. 121 (10): 1209. PMID 3767653.CS1 maint: Multiple names: authors list (link)

CME Category::Cardiology

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Tag » What Does Bruit Sound Like