Fig. 7
From: Aortic emergencies—diagnosis and treatment: a pictorial review
Ruptured penetrating aortic ulcer in a 57-year-old male patient. Chronic renal failure led to haemodialysis. The patient presented with hypotension and abdominal pain. CTA demonstrated a large retroperitoneal haematoma (a) and an aortic ulcer projecting beyond the aortic contour (arrowhead) (b). Coronal reformation demonstrated the mushroom-like appearance of the ulcer (arrow) (c). The patient was treated with implantation of a uni-iliac stent graft (d). Three years later he presented with hypotension and thoracic pain. CTA demonstrated a ruptured aortic ulcer in the distal descending aorta (e) that was again treated with implantation of a thoracic stent graft (f-g)