DOI: 10.36347/SJMCR.2019.v07i09.002

Pages: 557-559

We report a case of multisegmental aortic saccularform aneurysms diagnosed at the radiology department of university center hospital mother-child Luxemburg in Bamako (Mali) with review of the literature. The aim was to clarify the contribution of CT angiography in his diagnosis. The aneurysm of the aorta is a permanent and local dilatation of the aortic diameter (≥ 50% of the normal value) with a loss of parallelism of its edges. It was a 38-year-old man. He comed from a rural area with poor socio-economic conditions. He was a farmer and a fisherman. He had been received for abdominalpelvic pain radiating to the back. The beginning of the disease would go back to a year. He had a history of smoking. The physical examination had a general deterioration of the condition, a conjunctival pallor, a temperature at 37.8 ° C, blood pressure at 140/90 mmHg, a systolic murmur associated with a pulsatile abdominal mass. Biological assessment showed microcytic anemia, thrombocytosis and elevated CRP. An abdominopelvic ultrasound showed abdominal aortic dilatations. CT angiography of the thoracoabdominal aorta confirmed multifocal saccular dilatation from the descending thoracic aorta to the primary iliac arteries. Staged saccular multiple aortic aneurysms are rare. CT angiography remains the gold standard for diagnosis.