Traumatic abdominal aortic false aneurysm

Case contributed by Andrew Lawson , 1 Nov 2013
Diagnosis certain
Changed by Dylan Kurda, 23 Sep 2015

Updates to Study Attributes

Findings was changed:

Retroperitoneal haematoma in the upper abdomen surrounds the abdominal aortaalso involves left perirenal space with thickening of pararenal fascia. A 3.5 mm outpouching from the left lateral wall of the upper abdominal aorta just inferior to the level of the coeliac axis ( L1 level ) is located short distance anterior to a tiny arterial branch. This is the epicentre of the upper abdominal haematoma and may represent small false aneurysm either from traumatic transection or at the site of avulsion of a small aortic branch. No intimal dissection flap is identified.

A large volume pneumoperitoneum is also present.

Images Changes:

Image CT (C+ arterial phase) ( update )

Perspective was set to Axial.

Updates to Study Attributes

Findings was changed:

False aneurysm onA 3.5 mm outpouching from the left sidelateral wall of the upper abdominal aorta just inferior to the level of the coeliac axis ( L1 level ) is now visiblelocated short distance anterior to a tiny arterial branch. This is the epicentre of the upper abdominal haematoma and may represent small false aneurysm either from traumatic transection or at the site of avulsion of a small aortic branch. No intimal dissection flap is identified.

Images Changes:

Image CT (C+ arterial phase) ( update )

Perspective was set to Axial.

Updates to Case Attributes

Diagnostic Certainty was set to .

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