Very large infrarenal infected aortic pseudoaneurysm in a healthy young patient.

Abstract

Although rare, infected aortic aneurysms are associated with high morbidity and mortality, despite appropriate treatment.1 An afebrile 33-year-old healthy man had visited the emergency department with a 3-day history of sharp abdominal pain. Initial computed tomography revealed an infrarenal pseudoaneurysm (150 mm; A), deep vein thrombosis from the inferior vena cava to both iliac veins (B and C; red arrows), and left hydronephrosis secondary to extrinsic compression of the ureter (B; blue arrow).