An aortic wall to vertebral body fistula presenting as a lytic lesion

Authors

  • Paul Farnsworth
  • Katie C Bailey
  • Erika Baardsen
  • Jean Johnson

DOI:

https://doi.org/10.3941/jrcr.v14i9.3270

Keywords:

Aortic aneurysm, fistula, endoleak, vertebral body hematoma, lytic spine lesion

Abstract

There have been multiple reported cases of aortic fistulas but few cases of aorta to vertebral body fistulas and no aortic wall to vertebral body fistulas have been reported. Here we present a case of a patient who is status post thoracic aortic aneurysm (TAA) repair and found to have a lytic vertebral body lesion. Biopsy of the mass revealed blood products without evidence of malignancy and further investigation revealed a fistulous tract between the aortic wall and the vertebral body causing a vertebral body hematoma.

Author Biographies

Paul Farnsworth

Resident, dept of radiology

Katie C Bailey

Assistant chief

Dept of Radiology

 

Erika Baardsen

Resident, Dept of Pathology

Jean Johnson

Pathologist

Published

2020-09-26

Issue

Section

Neuroradiology