Presentation
Low back pain and urinary incontinence.
Patient Data
Age: 40 years
Gender: Female
From the case:
Marfan syndrome
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/48275/annotated_viewer_json?lang=us"}
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
- gross cardiomegaly
- lumbosacral dural ectasia with scalloping of the dorsal surface of the vertebrae
- intrasacral meningocele
- passive hepatomegaly
- lumbar scoliosis with convexity to left
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
Unable to process the form. Check for errors and try again.