Abdominal aortogram did not demonstrate a convincing active bleeding.
Selective lumbar runs demonstrated: Avulsed left L1 to L3: Large cavity with avulsion of the L2 from the root and an aortic hole, and massive extravasation. No stump to coil. L3 stump was coiled using 2 x Figure of Eight Pushable -18 coils until complete exclusion. Vascular team was informed and was involved: Aortic injury was treated with a 22 x 80 mm COOK covered stent. Good final angiographic run.