Abdominal aortic aneurysm

Case contributed by Dr Ahmed Abd Rabou

Presentation

Non specific abdominal pain. Abdominal ultrasonography revealed aortic aneurysm.

Patient Data

Age: 75 years
Gender: Male
Modality: CT

Fusiform aneurysmal dilatation of the infra-renal abdominal aorta that does not involve the iliac arteries. Mural thrombus is noted not affecting the major branches. Accessory renal artery is noted bilaterally. No signs of aortic rupture. Osteoporotic changes of patient vertebral column are noted.

Case Discussion

Atherosclerosis usually causes fusiform aneurysm due to focal weakening of the aortic wall that involves the whole circumference. Complication of aneurysm include rupture, thrombosis and dissection. Aneurysms require surgical intervention if its caliber exceeds 6 cm or is associated with complications. Otherwise endovascular graft/stent is the best option.

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Case Information

rID: 25855
Case created: 12th Nov 2013
Last edited: 11th Dec 2015
System: Vascular
Inclusion in quiz mode: Included

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