Abdominal aortic aneurysm with thrombus fissuration

Case contributed by Dr Vincent Tatco

Presentation

Known case of abdominal aortic aneurysm. Presented with abdominal pain.

Patient Data

Age: 80 years old
Gender: Male

There is a large infrarenal fusiform abdominal aortic aneurysm with a contrast-filled fissure through the intramural thrombus.

Annotated image showing thrombus fissuration (arrow) within the abdominal aortic aneurysm.

Case Discussion

This is a case of an abdominal aortic aneurysm with thrombus fissuration in a patient presenting with abdominal pain. Thrombus fissuration is a sign of aneurysm instability and impending rupture.

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