Abdominal aortic aneurysm with intramural hematoma and ulcer-like projection then rupture

Case contributed by Craig Hacking , 29 Dec 2016
Diagnosis certain
Changed by Craig Hacking, 27 Apr 2021

Updates to Study Attributes

Findings was changed:

There is now more left retroperitoneal stranding and fluid which is displacing the left kidney anteriorly suggesting ongoing slow rupture. In the left posterolateral wall of the lower lobe of the bilobed AAA, there is contrast now extending into the wall in keeping with progression of the acute intramural haematoma (development of an ulcer-like projection (ULP)). This is at the site of the wall thickening and crescent sign on the initial CT.

No active contrast blush is seen outside the aorta. Again, the kidneys appear well perfused.

Updates to Case Attributes

Title was changed:
Abdominal aortic aneurysm with intramural haematoma and ulcer-like projection then rupture

Systems changed:

  • Chest

Updates to Link Attributes

Title was removed:
Abdominal aortic aneurysm with intramural haematoma then rupture
Type was removed.
Visible was set to .

Updates to Primarylink Attributes

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