Giant AAA on POCUS Elderly pt with abd/back pain. Stable. Has pulsatile mass on exam spans 12 cm. Too big for a AAA, right? Must be something else with referred pulsations. No PMH or prior imaging. Images in thread. My answer (of course)-POCUS. AAA measured 10.9 cm so not Giant AAA by definition (Giant > 11 cm). Article has case of 18 cm AAA non ruptured. Largest reported 25 cm non ruptured! Never let giant size dissuade you from AAA consideration. CT Correlate: https://twitter.com/RJonesSonoEM/st Dr. Robert Jones @RJonesSonoEM #AAA #Giant #POCUS #clinical #ultrasound #abdominal #aneurysm
