Penetrating atherosclerotic ulcer: aortic arch

Case contributed by RMH Core Conditions


Colorectal cancer for staging.

Patient Data

Age: 69
Gender: Male

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.


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
Published: 22nd Sep 2014
Last edited: 26th Apr 2018
System: Vascular
Inclusion in quiz mode: Included

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