Abdominal aortic aneurysm

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Pulsatile abdominal mass feeling.

Patient Data

Age: 60 years
Gender: Male
ct

A few small cysts are seen at liver less than 7mm.
Infrarenal fusiform abdominal aortic aneurysm is present with maximum diameter of 65mm. Marked mural thrombosis is evident up to 38mm in thickness. Contrast filled luminal caliber measured about 28mm. There is no sign of intraperitoneal rupture. Para-aortic fat is intact.

Case Discussion

Features are consistent with abdominal aortic aneurysm with mural thrombosis.

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