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Abdominal Radiology

Erschienen in:

01.02.2010

Sealed rupture of abdominal aortic aneurysms: CT features in 6 patients and a review of the literature

verfasst von: S. Apter, U. Rimon, E. Konen, Z. Erlich, L. Guranda, M. Amitai, O. Portnoy, G. Gayer, M. Hertz

Erschienen in: Abdominal Radiology | Ausgabe 1/2010

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Abstract

Purpose

To assess the CT features of sealed rupture of abdominal aortic aneurysm.

Patients and methods

We reviewed the CT scans of six index cases obtained over a 3 year period with a sealed rupture of an abdominal aortic aneurysm and those reported in the literature over a 21 year period. CT scans were reviewed for aneurysm size, the presence of a draped aorta and adjacent vertebral erosion. A group of consecutive patients with non-ruptured abdominal aortic aneurysm, referred for endovascular aneurysm repair during the same 3 year period constituted the control group.

Results

In the study group of 31 patients the mean size of the aneurysm was 6.24 ± 2.01 cm, compared to 6.01 ± 0.99 cm in the control group, without statistically significant difference (t = 0.75, df = 97, P = 0.46). A draped aorta was detected in all patients with a sealed rupture. Vertebral erosion was present in all our six, but mentioned in only 14 of the cases reported.

Conclusion

A sealed rupture of an abdominal aortic aneurysm can occur in relatively small aneurysms. A draped aorta and adjacent vertebral erosion are characteristic CT signs of such a rupture.

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Titel: Sealed rupture of abdominal aortic aneurysms: CT features in 6 patients and a review of the literature
verfasst von: S. Apter
U. Rimon
E. Konen
Z. Erlich
L. Guranda
M. Amitai
O. Portnoy
G. Gayer
M. Hertz
Publikationsdatum: 01.02.2010
Verlag: Springer-Verlag
Erschienen in: Abdominal Radiology / Ausgabe 1/2010
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI: https://doi.org/10.1007/s00261-008-9488-1

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Sealed rupture of abdominal aortic aneurysms: CT features in 6 patients and a review of the literature

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Patients and methods

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