Contained rupture of abdominal aortic aneurysm

Case contributed by Dr Vincent Tatco

Presentation

Known case of abdominal aortic aneurysm; Abdominal pain and tenderness.

Patient Data

Age: 80 years old
Gender: Male

The aorta and its branches show wall calcifications due to atherosclerotic disease. An infrarenal abdominal aortic aneurysm is demonstrated. The left posterolateral wall of the aneurysm extends into the left paralumbar region and follows the contour of the lumbar vertebrae with a draping effect ("draped aorta sign"). This is highly indicative of contained rupture.

Other findings:

  • mesenteric, retroperitoneal, and pelvic fat stranding
  • small hepatic cysts
  • left renal cyst
  • degenerative osseous changes
  • subcutaneous oedema
  • cardiomegaly
  • right pleural effusion

Case Discussion

This case demonstrates the draped aorta sign of a contained abdominal aortic aneurysm rupture.

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Case information

rID: 45473
Case created: 26th May 2016
Last edited: 27th May 2016
System: Vascular
Inclusion in quiz mode: Included

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