Pneumococcal Aortitis Causing Aortic Rupture

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Pneumococcal Aortitis Causing Aortic Rupture K. Dawas, R.C.J. Hicks  EJVES Extra  Volume 6, Issue 4, Pages 70-72 (October 2003) DOI: 10.1016/S1533-3167(03)00076-1

Fig. 1 Plain abdominal radiograph. The left psoas shadow is absent and there is obvious scoliosis in the lower thoracic/lumbar region. Furthermore, the left colonic gas pattern deviates to the right. These features all suggest a retroperitoneal pathology to the left of the vertebrae. EJVES Extra 2003 6, 70-72DOI: (10.1016/S1533-3167(03)00076-1)

Fig. 2 CT scan images of abdomen and aorta, (a) is a section at the level of the left renal artery. The latter is clearly seen but there is a vague mass superficial to an intact aorta; (b) is at the level of L2/L3. There is a large radio-dense lesion within an area, which includes organised thrombus. The aorta is not clearly visible in this section; (c) is an early contrast phase image through a more cranial level than 2(b). This image clearly displays the aortic wall perimeter. There is a rupture of the posterior wall. EJVES Extra 2003 6, 70-72DOI: (10.1016/S1533-3167(03)00076-1)