Ruptured abdominal aortic aneurysm

Case contributed by Dr Ian Bickle


Acute back pain and hypovolaemic shock. Hypotensive in A&E. Ruptured AAA?

Patient Data

Age: 70 years.
Gender: Female

Large infrarenal AAA, with a large volume of active contrast extravasation into the left retroperitoneum with a huge retroperitoneal haematoma.  The haematoma displaces the left kidney anteriorly.

Dissection flap in the distal aorta extending to the bifurcation.

Left sided pleural effusion.

Case Discussion

Typically contrast images are not necessary in the case of an acute abdominal aortic aneurysm rupture.   

This was acquired and shows a very dramatic rupture with a huge amount of active contrast extravasation in keeping with acute haemorrhage.

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Case information

rID: 56831
Published: 24th Nov 2017
Last edited: 16th Jul 2018
System: Vascular
Tag: rdgh
Inclusion in quiz mode: Included

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