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Chronic contained rupture of abdominal aortic aneurysm (CCR-AAA) with massive vertebral bone erosion: computed tomography (CT), magnetic resonance imaging (MRI) and fluorine-18-fluorodeoxyglucose positron emission tomography (FDG-PET) findings

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Abstract

A 62-year-old male presented with sudden onset of low back and right leg pain. Contrast-enhanced computed tomography demonstrated an abdominal aortic aneurysm (AAA), along with a large mass lesion causing vertebral body erosion. Magnetic resonance imaging (MRI) suggested that the mass lesion consisted of a chronic hematoma. Fluorine-18-fluorodeoxyglucose positron emission tomography (FDG-PET) demonstrated increased uptake around the mass lesion, but not around the AAA. Surgical intervention was performed, and the subsequent histological diagnosis was chronic contained rupture of AAA. The mass lesion consisted of chronic hematoma and necrosis with inflammatory cell infiltration and hemosiderin deposition. This condition mimics some neoplastic diseases, but MRI and FDG-PET findings may help establish the correct diagnosis.

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Conflict of interest

The authors declare no conflict of interest.

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Authors and Affiliations

  1. Department of Diagnostic Radiology and Nuclear Medicine, Gunma University Hospital, 3-39-15 Showa, Maebashi, Gunma, 371-8511, Japan

    Sachiko Nakano, Kenzo Okauchi & Yoshito Tsushima

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  1. Sachiko Nakano
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  2. Kenzo Okauchi
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  3. Yoshito Tsushima
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Correspondence to Sachiko Nakano.

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Nakano, S., Okauchi, K. & Tsushima, Y. Chronic contained rupture of abdominal aortic aneurysm (CCR-AAA) with massive vertebral bone erosion: computed tomography (CT), magnetic resonance imaging (MRI) and fluorine-18-fluorodeoxyglucose positron emission tomography (FDG-PET) findings. Jpn J Radiol 32, 109–112 (2014). https://doi.org/10.1007/s11604-013-0271-z

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  • DOI: https://doi.org/10.1007/s11604-013-0271-z

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