Chronic contained rupture of abdominal aortic aneurysm

Case contributed by Dr Saeed Soltany Hosn


Presented with low back pain. Physical examination revealed tenderness in his lumbar spine. Past history of long term hypertension.

Patient Data:

Age: 77 years
Gender: Male

Severe tortuousity and aneurysmal dilataion of abdominal aorta at the origin of renal arteries, which extends to the bifurcation of aorta associated with extensive mural thrombosis. Severe erosion and scalloping of anterior part of L3 and L4 vertebrae and loss of outline of the right psoas muscle. Contrast material completely fills the renal and common iliac arteries.There is no evidence of mesenteric ischemia, free fluid in peritoneal cavity or contrast material in the surrounding haematoma.

Case Discussion:

Contained rupture of AAAs is very rare. 

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