Abdominal aortic aneurysm with thrombus fissuration

Case contributed by Dr Vincent Tatco

Presentation

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

Patient Data

Age: 75 years
Gender: Male

There is an infrarenal fusiform abdominal aortic aneurysm with a maximum diameter of 5.8 cm. Linear contrast infiltration from the aneurysm lumen through the intramural thrombus is demonstrated indicative of thrombus fissuration.

Annotated images showing thrombus fissuration 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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