Journal of Vascular Medicine & Surgery

Abstract

Computed Tomography and Magnetic Resonance Imaging Findings of Chronic Contained Rupture of an Abdominal Aortic Aneurysm Leading to Vertebral Destruction and Total Thrombosis: A Case Report

Sercan Ozkacmaz

Rupture is an extremely fatal complication of abdominal aortic aneurysms (AAAs), which may result in severe retroperitoneal bleeding. In certain cases, particularly in those with smaller ruptures, bleeding may be contained by surrounding tissues, such as vertebral bodies or psoas muscle. These chronic hematomas can cause vertebral destruction, leading to radicular pain and back pain. Total thrombosis of the abdominal aorta secondary to aneurysm rupture is a relatively uncommon complication, leading to numbness and vascular pain in the lower extremities, rather than back pain. Herein, we present a case of a chronic contained rupture of an AAA, leading to vertebral destruction and total thrombosis, as evidenced by contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI).