The Teaching Point

Chronically ruptured abdominal aortic aneurysm can give rise to severe erosions of the thoracic and lumbar vertebral bodies and may inadvertently be mistaken for other etiologies. For a differential diagnosis, the identification of the aortic origin of such masses using contrast MDCT and imaging findings, such as the “draped aorta sign and the sharp and well-corticated edges of the osseous erosions, is highly important.






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From the manuscript

Extensive Erosion of Vertebral Bodies Due to a Chronic Contained Ruptured Abdominal Aortic Aneurysm

Free full text article: Extensive Erosion of Vertebral Bodies Due to a Chronic Contained Ruptured Abdominal Aortic Aneurysm

Abstract
This report describes a case of chronically ruptured abdominal aortic aneurysm contained within the lumbar vertebral bodies that presented with dull abdominal pain. Sudden, massive hemorrhage is an uncommon, yet well-known complication of an untreated abdominal aortic aneurysm. In addition, misleading clinical and radiological findings present difficult diagnostic challenges in such cases. This report emphasizes the findings obtained with multidetector computed tomography and delineates the differentiation of this condition from similar pathologies.






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