Presentation
Acute back pain and hypovolemic shock. Hypotensive in A&E. Ruptured AAA?
Patient Data
Age: 70 years.
Gender: Female
From the case:
Ruptured abdominal aortic aneurysm
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Large infrarenal AAA, with a large volume of active contrast extravasation into the left retroperitoneum with a huge retroperitoneal hematoma. The hematoma 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 hemorrhage.