Abstract
The patient is an 84-year-old man with past medical history of chronic kidney disease status-post renal transplant 20 years ago, and an abdominal aortic aneurysm (AAA) status-post Gore Excluder endograft 10 years ago. The patient now presents with right lower quadrant abdominal pain for 3 days. On physical exam, he had a tender right lower quadrant (RLQ), and a pulsatile mass. Creatinine (Cr) was 1.61 mg/dL with glomerular filtration rate (GFR) 49 U. Computed tomography angiography (CTA) showed an expansion of the AAA to 10.4 cm and a type Ib endoleak with a 4.9 cm common iliac artery aneurysm with a transplanted renal artery.
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