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Saccular common iliac artery aneurysm with retroperitoneal rupture

Case contributed by Dr Kewal Arunkumar Mistry


Acute lower abdominal pain. History of blunt abdominal trauma 4 years back.

Patient Data

Age: 78 years
Gender: Male

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.

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.

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Case information

rID: 35416
Published: 5th Apr 2015
Last edited: 14th Aug 2019
System: Vascular
Inclusion in quiz mode: Included

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