Ruptured abdominal aortic aneurysm

Case contributed by Dr Bruno Di Muzio


Abdominal discomfort for about a month. Presents on emergency department with severe abdominal pain in the left flank with inguinal irradiation.

Patient Data

Age: 72
Gender: Male

CT Abdomen and pelvis


Examination performed on helical CT scanner. Breathing artefacts partially degrade the multiplanar reconstructions.

Large infrarenal abdominal aortic aneurysm. There are old rupture with pseudoaneurysm formation with inferior extension along psoas muscle. Extensive retroperitoneal hematoma on the left, with anterior projection of the left kidney.

Case Discussion

This is a case of an old ruptured aneurysm on the infrarenal abdominal aorta. Extensive retroperitoneal hematoma and a large pseudoaneurysm formation. 

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