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Updated: Sep 9, 2026

An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta
Published on: September 8, 2023
Atypical presentation of an impending thoracoabdominal aortic aneurysm rupture: The hyperattenuating crescent sign as
Ismail Bouzid1, Mohamed Labied1, Feryal El Oualladi1
1Central Department of Radiology, Faculty of Medicine and Pharmacy of Casablanca, Ibn Rochd University Hospital, Casablanca, Morocco.
Abstract:
An aortic aneurysm is defined as a focal dilatation of the aortic diameter, often remaining clinically silent until the onset of potentially fatal complications. Detection at the prerupture stage represents a major diagnostic challenge for both clinicians and radiologists, yet it can be life-saving. We report the case of a 55-year-old female patient who presented with persistent epigastric pain unresponsive to medical treatment. CT angiography revealed an approximately 58-mm symptomatic thoracoabdominal aortic aneurysm with a hyperattenuating crescent sign concerning for impending rupture, highlighting the pivotal role of vascular imaging in the early diagnosis of this silent but life-threatening condition.
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