Abstract

A 17 year-old female presented with abdominal pain, due to contained rupture of a left common iliac artery aneurysm. This was accompanied by abdominal aortic and superior mesenteric artery aneurysms. Despite emergency vascular surgery, the patient died a week later. Post-mortem examination revealed intimomedial mucoid degeneration. This rare condition has been described predominantly in South African black patients especially females, and occurs at a younger age than degenerative aortic aneurysms.

Highlights

  • Despite a number of case reports and series, general scepticism persists regarding the acceptance of intimomedial mucoid degeneration (IMMD) as a distinct clinico-pathological entity

  • This report aims to increase the awareness of IMMD and revisit the distinctive clinical, radiological and pathological features peculiar to this condition

  • A 17-year-old black girl presented to a peripheral hospital with a oneweek history of severe abdominal pain, weight loss, swelling of her left leg, and weakness of both lower limbs, worse on the left

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Summary

PICTORIAL ESSAY

Multiple aneurysms due to intimomedial mucoid degeneration: a short presentation. Division of Diagnostic Radiology,Groote Schuur Hospital and University of Cape Town. Division of Anatomical Pathology,Groote Schuur Hospital and National Health Laboratory Service,Cape Town

Introduction
Case report
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