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Abdominal aortic aneurysm

Patterson RAP - MedPix

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Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Abdominal aortic aneurysm

History: 81 year old male with a one month history of positional back pain.

Findings: L-spine: Lower lumbar hyperlordosis with marked degenerative changes involving multiple levels of the lower thoracic and lower lumbar spine. 6 cm abdominal aortic aneurysm with extensive aortoiliac calcification. Abdominal CT: Infrarenal abdominal aortic aneurysm with a maximum AP dimension of 5.4 cm and transverse dimension of 4.9 cm. The aneurysm is 1 cm below the left renal artery ostium and ends 3 cm above the aortic bifurcation. There is extensive calcification in the aorta, SMA, bilateral renal arteries, iliac arteries, and common iliac arteries. All the vessels are patent.

Ddx: Abdominal aortic aneurysm Other causes of back pain: musculoskeletal back pain, malignancy, vertebral infection, nephrolithiasis, herniated disc, degenerative disease

Exam: VSS: stable Marked lordosis, no vertebral tenderness, no pulsatile abdominal masses, neuro. exam non focal

No MeSH data available.


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MPX1513_synpic24287: CT Image


Abdominal aortic aneurysm

Patterson RAP - MedPix

CT Image
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1513&req=5

MPX1513_synpic24287: CT Image

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Abdominal aortic aneurysm

History: 81 year old male with a one month history of positional back pain.

Findings: L-spine: Lower lumbar hyperlordosis with marked degenerative changes involving multiple levels of the lower thoracic and lower lumbar spine. 6 cm abdominal aortic aneurysm with extensive aortoiliac calcification. Abdominal CT: Infrarenal abdominal aortic aneurysm with a maximum AP dimension of 5.4 cm and transverse dimension of 4.9 cm. The aneurysm is 1 cm below the left renal artery ostium and ends 3 cm above the aortic bifurcation. There is extensive calcification in the aorta, SMA, bilateral renal arteries, iliac arteries, and common iliac arteries. All the vessels are patent.

Ddx: Abdominal aortic aneurysm Other causes of back pain: musculoskeletal back pain, malignancy, vertebral infection, nephrolithiasis, herniated disc, degenerative disease

Exam: VSS: stable Marked lordosis, no vertebral tenderness, no pulsatile abdominal masses, neuro. exam non focal

No MeSH data available.