How can you see a ruptured abdominal aortic aneurysm on abdominal x-ray?

I was was listening to a vascular surgeon, who mentioned that there was an indication of a partially ruptured abdominal aortic aneurysm see on an abdominal x-ray. I have no idea how he saw this or what to look for.

Can anyone give me some hints please?

Authored By Rebecca Stafford on Saturday 1st December 2012

Responses

Dr Alastair Buick
·
Site Administrator
·
Posted almost 7 years ago

I have come across a case where evidence of the rupture could be seen by blunting of the psoas line on abdominal x-ray. This patient had a ruptured AAA on the left side and blood in the retroperitoneum was the cause of this blunting /

Like
(3)
Respond
David Sims
·
Medical Student - Queen Mary London
·
Posted almost 7 years ago

Just looked it up. On the doctor version of patient UK (if you use this you never need a text book again!) apparently 75% are calcified which is an indication of a AAA. http://www.p

Like
(1)
Respond
Mr Raymond Buick
·
Paediatric Surgeon
·
Posted almost 7 years ago

Yes the wall of Abdominal Aortic Aneurysms are often calcified and can be seen on a plain abdominal film. The fact that it was leaking was probably deduced from the clinical situation rather than the x-ray.

Like
(1)
Respond
Sam Burden
·
Medical Student
·
Posted almost 7 years ago

Can you ask the consultant surgeon and then tell us? This sounds interesting and surely that is the easiest way to find out, rather than posting here!!

Like
(-3)
Respond