PMC9885518_01
CT angiogram on initial presentation demonstrating an aneurysmal abdominal aorta but no contrast extravasation.
rjac579f1.jpg
PMC9885518_01_rjac579f1.jpg
f1
CT showed a likely AEF associated with a 7 cm inflamed aneurysmal sac posterior to the third part of the duodenum (Fig. 1).
(a and b) CT angiogram after EVAR demonstrating endoleak.
rjac579f2.jpg
PMC9885518_01_rjac579f2.jpg
f2
Final angiogram demonstrated patent renal and iliac arteries but a type 2 endoleak (Fig. 2a and b).
(a) CT angiogram demonstrating new gas in the aneurysmal sac 6 weeks post-repair; (b) CT angiogram just prior to the second repair, demonstrating ongoing endoleak and continuity of the duodenum and sac; part of the duodenal clip is visible.
rjac579f3.jpg
PMC9885518_01_rjac579f3.jpg
f3
CT angiography demonstrated new gas in the aneurysmal sac (Fig. 3a). CT angiography again demonstrated the type 2 endoleak, with active contrast extravasation into the third part of the duodenum (Fig. 3b).