Infrarenal aortic aneurysm

Case contributed by Dr Derek Smith

Presentation

Pulsatile abdominal mass noticed by surgical team when presented for elective hernia repair.

Patient Data

Age: 60
Gender: Male
Modality: CT

Infrarenal aortic aneurysm: maximal diameter 10cm, length of affected aorta ~15cm. No contrast extravasation, no rupture at time of scan. Origin of aneurysm 2cm distal to left renal artery origin. No involvement of iliac or mesenteric vessels.

Calcification of abdominal aorta and iliac vessels on non-contrast scan.

Incidental left renal cyst measuring 6cm.

Small right inguinal hernia containing fat.

Case Discussion:

The patient underwent open repair of his AAA which was uncomplicated.

It is unclear if he has yet had his hernia repaired...

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Case Information:

rID: 36556
Diagnostic certainty: Certain
System: Vascular
Tags: aaa, emergency
Inclusion in quiz mode: Included

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