title: Chronic Contained Abdominal Aortic Aneurysm Rupture Mimicking Vertebral Spondylodiscitis: A Case Report.
abstract: A 63-year-old Caucasian male presented with a 4-month history of low back pain associated with bilateral intermittent claudication. A contrast enhanced CT scan demonstrated a 4 cm abdominal aortic aneurysm (AAA), along with severe bilateral aorto-iliac disease, a right psoas collection, and extensive vertebral erosion. An MRI of the lumbar spine suggested spondylodiscitis at L4-L5. After an unsuccessful and prolonged course of antibiotics, a decision was ultimately made to repair the aneurysm and bypass the aorto-iliac disease. Intra-operatively, a chronic contained rupture (CCR) involving the posterior aortic wall was encountered and repaired with an aorto-bifemoral bypass graft.
authors.affiliation: Department of Vascular Surgery, Bahrain Defense Force Hospital, Royal Medical Services, Kingdom of Bahrain.
authors.forename: Abdulrahman
authors.initials: A
authors.lastname: Alshafei
authors.affiliation: Department of Vascular Surgery, Bahrain Defense Force Hospital, Royal Medical Services, Kingdom of Bahrain.
authors.forename: Dhafer
authors.initials: D
authors.lastname: Kamal
keywords: abdominal aortic aneurysm (AAA); chronic contained rupture (CCR); vertebral erosion