PMC2797456_01
(a) MRI of abdominal aortic pseudoaneurysm showing a small amount of aortacaval connection. (b) Operative image of pseudoaneurysm.
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fig1
MRI revealed a 6 x 8 cm pseudoaneurysm at the distal abdominal aorta just proximal to the bifurcation of the aorta associated with an ACF (Figures 1(a)-1(b)).
(a) Pseudoaneurysm after opening the aneurysmal sac and showing the neck of the pseudoaneurysm at the abdominal aorta. (b) Huge pseudoaneurysm after evacuating the thrombus and resecting the diseased part of the abdominal aorta.
CRM2009-536424.002.jpg
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fig2
There was a huge pseudoaneurysm nearly to rupture with a 1-1.5 cm neck (Figure 2(a)). The real size of the pseudoaneurysm was bigger than MRI image and was surrounding the aorta including the retroaortic region (Figure 2(b)).