Abdominal aortic aneurysm

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Pulsatile abdominal mass.

Patient Data

Age: 75 years
Gender: Male
ct

Well-opacified fusiform dilatation of the infrarenal aorta extending to the proximal segment of the common iliac arteries, measuring 8 cm in diameter and 10 cm in length with mild circumferential mural thrombus. No evidence of contrast extravasation or intra-abdominal collection.

This fusiform aortic aneurysm compresses the left ureter at the L3 level with moderate hydroureteronephrosis.

Right pleural calcification is noted.

Case Discussion

CT features of a fusiform aneurysm of the infrarenal aorta with signs of impending rupture.

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