Dore R, Alerci M, Cornalba G, Vadalà G, De Agostini A
Istituto di Radiologia, Università di Pavia, Italy.
Rofo. 1988 Feb;148(2):127-30. doi: 10.1055/s-2008-1048163.
The authors present two cases of impending rupture of abdominal aortic aneurysms correctly diagnosed by means of some unusual CT findings. The clinical signs were not clear. On CT examination, despite the absence of haematomas, minor, but precise, changes allowed the correct diagnosis: loss of definite contours of the aneurysm, non-homogeneous peri-aortic and peri- and para-renal adipose tissue, thickening of the renal fascia and a thin fluid collection over the psoas muscles.
作者介绍了两例腹主动脉瘤即将破裂的病例，通过一些不寻常的CT表现得以正确诊断。临床体征并不明显。在CT检查中，尽管没有血肿，但轻微而确切的改变使得能够做出正确诊断：动脉瘤轮廓不清、主动脉周围及肾周和肾旁脂肪组织不均匀、肾筋膜增厚以及腰大肌上有少量液体聚集。
