Penetrating atherosclerotic ulcer - aortic arch

Case contributed by RMH Core Conditions


Colorectal cancer for staging.

Patient Data

Age: 70 years
Gender: Male

A penetrating aortic ulcer with mural thrombus, measures 3.9 cm, 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 (not demonstrated).

Case Discussion

Key learning points:

  • along with aortic intramural hematoma 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: 18th Jan 2020
Inclusion in quiz mode: Included

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