DOI: 10.36347/sjmcr.2022.v10i08.018

Pages: 823-827

Saccular-shaped aortic abdominal aneurysms (SaAAA) are a rare but serious condition, their major complication is the rupture or cracking of the aortic wall leading to hemorrhagic shock and most frequently resulting in a fatal outcome. Imaging and particularly Multidetecter Row CT (MDCT) plays a crucial role in the diagnosis and management of this condition. It is actually the imaging modality of choice in establishing a precise pre-operative evaluation of AAAs, by accurately visualizing the aneurysm, screening for signs of complications, secondary locations and anatomical variations. We present a rare case of a large saccular aneurysm of the infra renal abdominal aorta with a parietal thrombus complicated by extended vertebral lytic lesions and in which the progression was marked by a cracking of the aneurysm.