0:00

Okay, so here we have a contrast

0:02

enhanced CT scan of the abdomen pelvis.

0:04

We have a little bit of a hiatus hernia here,

0:06

where the stomach is coming through the um

0:08

diaphragmatic hiatus, spleen and liver look okay.

0:11

But as we come down where we

0:12

see a lot of high density fluid.

0:15

Adjacent to an extremely dilated and enlarged aorta.

0:19

So, you know, no prizes here.

0:20

This is the appearance of an AAA or

0:24

an abdominal aortic aneurysm rupture.

0:26

Um, we have a lot of fluid blood

0:29

products within the retroperitoneum.

0:31

In that perirenal space.

0:33

The blood is extending along the aorta.

0:36

You can see it coming deep here.

0:38

In the retroperitoneum, but not

0:40

expanding the muscle of the iliopsoas.

0:42

So this is a large, uh, AAA

0:45

ruptured with retroperitoneal fluid.

0:47

Let's go on coronal for the drama.

0:50

Again, you know, these are an emergent situation.

0:53

Usually when we're imaging these patients, it's

0:55

pretty well known from the bedside ultrasound

0:57

that the patient has a very large aorta.

0:59

We're trying to give them contrast so that we

1:01

can make a CTA image of the ruptured aorta.

1:04

As fast as possible while they prep the ORs so

1:07

that they can measure the stent grafts that will be

1:09

needed for emergent stent fixation in these patients.

1:13

So this is a ruptured abdominal aortic aneurysm

1:16

with retroperitoneal bleeding in the perirenal space.

Case: Ruptured Abdominal Aortic Aneurysm

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