Presentation
Known case of abdominal aortic aneurysm. Presented with abdominal pain.
Patient Data
Age: 80 years old
Gender: Male
From the case:
Abdominal aortic aneurysm with thrombus fissuration
Axial C+ arterial phase

There is a large infrarenal fusiform abdominal aortic aneurysm with a contrast-filled fissure through the intramural thrombus.
From the case:
Abdominal aortic aneurysm with thrombus fissuration
Axial

Annotated image showing thrombus fissuration (arrow) within the abdominal aortic aneurysm.
Case Discussion
This is a case of an abdominal aortic aneurysm with thrombus fissuration in a patient presenting with abdominal pain. Thrombus fissuration is a sign of aneurysm instability and impending rupture.