PMC8244983_01
(A) Asymmetrical edema of the left lower limb secondary to iliofemoral deep venous thrombosis; (B) Genital ulcer.
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A 49-year-old man presented with asymmetrical edema of the left lower limb and pain in the ipsilateral thigh and aqueous diarrhea for 3 days prior to hospital admission (Figure 1A). The patient reported a history of recurrent oral and genital ulcers and arthritis for the pervious 8 years, in addition to acneiform eruptions on his back and face (Figure 1B).
(A) Sagittal image from angiotomography of the abdominal aorta, showing large volume posterior saccular aneurysm; (B) Volumetric angiotomography reconstruction, showing large volume posterior saccular aneurysm; (C) Sagittal angiotomography image of the abdominal aorta, showing aneurysm neck and dimensions.
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The largest diameter was 6.4 cm and the neck measured 1.7 cm (Figure 2).
(A) Anteroposterior abdominal aortography before deployment, the large volume saccular aneurysm; (B) Control angiography after deployment of the endograft, with no leaks.
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California, United States) was deployed into the infrarenal abdominal aorta via open dissection of the right femoral artery, preserving the aortic bifurcation and occluding the neck of the aneurysm. Control aortography showed the graft was correctly positioned and free from leaks (Figures 3A and 3B).