Marfan syndrome

Case contributed by Dr Mostafa El-Feky

Presentation

Low back pain and urinary incontinence.

Patient Data

Age: 40 years
Gender: Female
CT

 Thoracic aorta

  • extensive aortic root dilatation measuring up to 9.6 cm regarding its maximum dimensions as well as the sino-tubular junction
  • normal caliber of the ascending aorta, arch and descending thoracic aorta and the visceral branches (left subclavian, left common carotid and brachiocephalic arteries) 

 Abdominal aorta

  • normal caliber of the supra and infra-renal abdominal aorta and the visceral branches (celiac trunk and inferior mesenteric arteries) 

Other findings

Case Discussion

The findings on this CT that suggests Marfan syndrome as the unifying diagnosis include:

  • dural ectasia
  • enlarged sacral foramina, sacral meningocele with scalloping of the dorsal surface of vertebral bodies
  • dilated aortic root with multi-chamber gross cardiac enlargement and passive congestive hepatomegaly
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Case information

rID: 44561
Published: 30th Apr 2016
Last edited: 22nd Mar 2019
Inclusion in quiz mode: Included

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