Abdominal aortic aneurysm

Case contributed by Dr Fazel Rahman Faizi

Presentation

Abdominal pain for one week.

Patient Data

Age: 75-year-old
Gender: Male
CT

Fusiform aneurysmal dilatation with mural thrombosis of the suprarenal abdominal aorta.  The celiac trunk originates from the lowermost part of the aneurysm. No aneurysmal rupture. No retroperitoneal hematoma.

Atherosclerotic plaques are seen within the rest of the abdominal aorta and iliac arteries. Multiple biliary cysts are seen. Multiple left renal cortical cysts of Bosniak I classification.

Minimal left-sided pleural effusion with underlying atelectasis.

Case Discussion

CT is highly sensitive and specific for the detection of abdominal aortic aneurysms. CT also provides information on the shape of the aneurysm and its relation to the visceral and renal vessels. 

Dr. Farhad Farzam has also contributed to this case.

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    Case information

    rID: 67117
    Published: 22nd Mar 2019
    Last edited: 25th Mar 2019
    System: Vascular
    Inclusion in quiz mode: Included
    Institution: French Medical Institute for Mothers and children

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