PMC4801142_01
(A-D) Axial CT images showing a pseudoaneurysm arising from the abdominal aorta (arrow in A) with the site of fistulous communication with the right renal vein (arrow in C). The right renal artery is arising from the aneurysmal part and shows an attenuated caliber (arrow in D). An incidental finding of the circumaortic left renal vein noted with a pre-aortic (arrowhead in B) and retro-aortic limb (arrow in B).
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(A-D) Axial CT images showing peripheral calcification in a pseudoaneurysm (A), retr-oaortic segment of the left renal vein (arrowhead in B), shrunken right kidney (arrowhead in C) and cardiomegaly (D). Multiple fragments of pellets noted in the spinal canal and paraspinal muscles showing streak artifacts.
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No pellets were identified near the great vessels (Figure 2).
(A, B) Coronal thin maximum intensity projection (MIP) CT images showing: aorta (Ao), partially calcified pseudoaneurysm (P), dilated IVC and origin of the right renal artery from the pseudoaneurysm (arrow in B).
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(A, B) Volume rendered images (VRT) showing: aorta(Ao), pseudoaneurysm (P), dilated IVC with fistulous communication between the pseudoaneurysm and the right renal vein (RRV). Pre-aortic (PLRV) and retro-aortic (RLRV) limbs of circumaortic left renal veins are seen.
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There was also anastamosis between the pre- and retro-aortic component (type III) (Figure 4).