Presentation
Acute lower abdominal pain. History of blunt abdominal trauma 4 years back.
Patient Data
Age: 78 years
Gender: Male
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Large heterogneously hypoechoic retroperitoneal mass with no internal vascularity in left side of abdomen overlying left psoas muscle.
Left common iliac artery showed presence of a large saccular aneurysm with typical turbulant flow and yin-yang sign on color Doppler.
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Left common iliac artery shows a large saccular aneurysm proximal to its bifurcation with partial thrombosis. The aneurysm measures 5.5 cm in its greatest dimension. A large heterogeneous iso to hyperdense collection is seen in retroperitoneum causing superior displacement of right kidney consistent with hematoma.
Moderate left and mild left pleural effusions are seen.