AJDRAJNR - American Journal of Neuroradiology

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ARTICLE

Vertebral Mass Resulting from a Chronic-Contained Rupture of an Abdominal Aortic Aneurysm Repair Graft

Vibhu Kapoora, Emanuel Kanala and Melanie B. Fukuia

a From the Department of Radiology, University of Pittsburgh Medical Center.

Summary: 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.