title: Vertebral mass resulting from a chronic-contained rupture of an abdominal aortic aneurysm repair graft.
abstract: We describe a case of a 63-year-old man with chronic-contained rupture of an abdominal aortic aneurysm at the site of prior graft repair of the aneurysm. Initially misinterpreted as osteomyelitis on the basis of CT findings, this chronic-contained rupture of the abdominal aorta eroding the vertebrae was preoperatively diagnosed at MR imaging and confirmed at surgery. A conventional angiogram failed to show the pseudoaneurysm. Owing to a major difference in the management of a contained aortic aneurysm rupture versus that for osteomyelitis, MR imaging with CT or MR angiography is recommended before any operative or invasive procedure.
authors.affiliation: Department of Radiology, University of Pittsburgh Medical Center, PA 15213, USA.
authors.forename: V
authors.initials: V
authors.lastname: Kapoor
authors.forename: E
authors.initials: E
authors.lastname: Kanal
authors.forename: M B
authors.initials: MB
authors.lastname: Fukui
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001019:Aortic Rupture / Q000150:complications*; D002908:Chronic Disease; D006801:Humans; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D013118:Spinal Cord Diseases / Q000175:diagnosis* / Q000209:etiology*