Penetrating aortic arch atherosclerotic ulcer

Case contributed by RMH Core Conditions

Presentation

Colorectal cancer for staging.

Patient Data

Age: 69
Gender: Male
Modality: CT

A penetrating aortic ulcer with mural thrombus, measures 3.9cm, extends from the inferior surface of the aortic arch.

Multiple pulmonary nodules consistent with metastases are demonstrated. Annular mural thickening of the distal sigmoid colon and proximal rectum.

Conclusion:

Penetrating ulcer of aortic arch, measuring 3.9cm.

 

Case Discussion

Key learning points:

  • along with aortic intramural haematoma and aortic dissection, penetrating atherosclerotic ulcers is a cause of acute aortic syndrome
  • smoking and hypertension are the two main risk factors
  • no intimal flap or false lumen is present on CT
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Case Information

rID: 31138
Case created: 21st Sep 2014
Last edited: 10th Sep 2015
System: Vascular
Inclusion in quiz mode: Included

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