einstein (São Paulo). 08/May/2019;17(4):eAI4550.

Vertebral body erosion secondary to aortoiliac aneurysm

Lilian Aguiar Pupo , André , Eduardo Kaiser Ururahy Nunes , Fernando Ide , Ronaldo Hueb

DOI: 10.31744/einstein_journal/2019AI4550

A 75-year old female patient presenting chronic arterial hypertension, was admitted at the emergency department with moderate unspecific abdominal pain. A computed tomography of total abdomen with no contrast enhancement was requested due to altered renal function and suspicion of acute obstructive abdomen.

The computed tomography sections ( and ) showed a fusiform aneurysm in the aortoiliac bifurcation, extending up to the right iliac artery. This aneurysm was causing erosion of the anterior aspect of L4 vertebral body, with bone remodeling, marked by subjacent cortical sclerosis.

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Vertebral body erosion secondary to aortoiliac aneurysm
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