Ruptured abdominal aortic aneurysm
The patient presented with acute back pain and hypotension
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CT reveals a giant infrarenal abdominal aortic aneurysm, measuring 11x10x10 cm. The aneurysm has a partially thrombosed lumen and maximum thrombus thickening measuring 5 cm. There is right-sided perianeurysmal retroperitoneal hematoma due to aneurysm rupture.
No active contrast extravasation.
This case illustrates typical findings of the abdominal aortic aneurysm complication with rupture and retroperitoneal hematoma.