MedPix® Patient Chart - Case No: 4442 :: Imaging - Review Images

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History

Age: 64 :: Gender: Man

Patient History

A 64-year-old man with and incidental finding of an abdominal aortic aneurysm (AAA) on CT measuring 5.3 cm. Subsequent US measured the aneurysm at 5.6 cm over a 7cm span.

Exam


Physical Exam and Laboratory


Findings


Summary of Findings

An aortogram was performed to aid in the planning of endograft placement. The AAA was demonstrated to be infrarenal, with a tortuous neck (seen to best advantage on the lateral view). There are duplicated renal arteries bilaterally. There is stenosis of the superior right renal artery. There are stenoses of the origins of the common iliac arteries bilaterally. Incidental note is made of an ureterocele on the left, with a dilated left ureter.


Diffferential


Differential Diagnosis

: (causes of AAA)
1. Degenerative (these constitute the vast majority; 90% are seen in association with atherosclerosis)
2. Inflammation
3. Chronic dissection
4. Trauma
5. Vasculitis
6. Connective tissue disease


Diagnosis


Diagnosis

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Treatment


Treatment and Followup

Treatment not available without Diagnosis

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Discussion

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Topic

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Case Contributor and Editor
Topic Author: Christopher J Bennett
Submitted by: Christopher J Bennett - Author Info
Case/Image Editor: - Editor Info
Case Accepted: :: Revised: :: Submitted:
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