CT
What is the screening protocol for abdominal aortic aneurysm?
Single time abdominal ultrasound for men over 65 y.o who ever smoked
Infrarenal abdominal aortic aneurysm, measuring up to 11 cm in AP diameter and about 17 cm in cc dimension, with peripheral discontinuous wall calcification, extending from below the level of renal artery origins to the aortic bifurcation, has a partially thrombosed lumen. It is associated with large amounts of right-sided haemoperitoneum and haemoretroperitoneum extending to a right-sided inguinal hernia, most likely due to the mentioned abdominal aortic aneurysm leak. It shows a minimal increase in density after contrast administration, suggesting active bleeding.