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Anastamotic Pseudoaneurysm

SEMERAD DCS - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Anastamotic Pseudoaneurysm

History: CASE REPORT: The patient is a 69 year-old male 20 years s/p aorta-right iliac and left femoral bypass graft for aortic occlusive disease. He presented with 3 days of intermittent but escalating right lower quadrant pain.

Findings: CT revealed an end-to-side aortic-right external iliac bypass graft, with an aneurysm at the distal anastomosis. There was also a near obstructing carcinoma in the ascending colon, which brought the patient to medical attention. Although there was no evidence of aneurysm rupture, the patient’s worsening symptoms prompted angiography and placement of a 10 mm x 4 cm stent-graft (Bard Fluency, Tempe, Az.) Completion arteriogram demonstrates excellent exclusion of the aneurysm sac with no evidence of endoleak. There were no complications from the procedure. The patient underwent extended right colectomy 3 days later.

Ddx: pseudoaneurysm (PSA) aneurysm inflammatory aneurysm

Dxhow: Angiography

Exam: WDWNWM in NAD. He had exquisite tenderness to palpation in right lower quadrant. Laboratory analyis was unremarkable.

No MeSH data available.


Initial opacification of the pseudoaneurysm sac.
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MPX2582_synpic32184: Initial opacification of the pseudoaneurysm sac.


Anastamotic Pseudoaneurysm

SEMERAD DCS - MedPix (2006)

Initial opacification of the pseudoaneurysm sac.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2582&req=5

MPX2582_synpic32184: Initial opacification of the pseudoaneurysm sac.

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Anastamotic Pseudoaneurysm

History: CASE REPORT: The patient is a 69 year-old male 20 years s/p aorta-right iliac and left femoral bypass graft for aortic occlusive disease. He presented with 3 days of intermittent but escalating right lower quadrant pain.

Findings: CT revealed an end-to-side aortic-right external iliac bypass graft, with an aneurysm at the distal anastomosis. There was also a near obstructing carcinoma in the ascending colon, which brought the patient to medical attention. Although there was no evidence of aneurysm rupture, the patient’s worsening symptoms prompted angiography and placement of a 10 mm x 4 cm stent-graft (Bard Fluency, Tempe, Az.) Completion arteriogram demonstrates excellent exclusion of the aneurysm sac with no evidence of endoleak. There were no complications from the procedure. The patient underwent extended right colectomy 3 days later.

Ddx: pseudoaneurysm (PSA) aneurysm inflammatory aneurysm

Dxhow: Angiography

Exam: WDWNWM in NAD. He had exquisite tenderness to palpation in right lower quadrant. Laboratory analyis was unremarkable.

No MeSH data available.