CASE 619 : ABDOMINAL AORTIC DILATATION, Dr PHAN THANH HẢI, Dr TRẦN THỊ THANH NGA, Dr VÕ NGUYỄN THÀNH NHÂN, Dr NGUYỄN THÀNH ĐĂNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Old male patient 70 yo, with  AAA suspected came to Medic for reexamination.

Abdominal CT with contrast thought about subrenal non dissection AAA, diameter # 29x32mm, with intramural aortic thrombus and  aortic wall plaques. Left iliac artery in dilatation with plaque and ulcer of vascular wall.

But Doppler color ultrasound showed a dilatation of subrenal abdominal aorta  # 60x18mm with thombus that narrows 30% of  lumen and aliasing artifacts into.

Later MRI of abdomen without Gadolinium confirmed a dilatation of abdominal aorta in 2 sections, the last one with plaques in subrenal part of aorta . Left commun iliac artery with plaques is also in dilatation.

MRI of Medic Center could perform vascular imaging without Gadolinium enhancement.