From the case:
Ruptured cerebral aneurysm (gross pathology)
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Post-mortem dissection of the circle of Wilis with the anterior cerebral arteries superiorly and the basilar artery inferiorly. A ruptured anterior cerebral artery aneurysm as well as an unruptured terminal internal carotid artery aneurysm are present.
In a zoomed-in image, the ruptured dome of the ACA aneurysm is visible.
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