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Chronic contained rupture of abdominal aortic aneurysm

Case contributed by: Dr Saeed Soltany Hosn

Presentation:

A 77Y/O male presented with low back pain.Physical examination revealed tenderness in his lumbar spine.He had a history of long term hypertension

Patient Data:

Age: 77-year
Gender: Male
Race: Caucasian

CT scan shows severe tortuousity and aneurysmal dilataion of abdominal aorta at the origin of renal arteries which extended to the bifurcation of aorta associated with extensive mural thrombosis and severe erosion and scalloping of anterior part of L3 and L4 vertebrae and loss of outline of the right psoas muscle.Contrast material completely filled renal and common iliac arteries.Threre are no evidence of mesenteric ischemia, free fluid in peritoneal cavity or contrast material in the surrounding hematoma.

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