Author Affiliations: Department of Surgery, Medical College of Wisconsin, Milwaukee.
An 81-year-old man had a history of endovascular repair of an infrarenal abdominal aortic aneurysm, measuring 5.5 cm at the time of repair, with an Excluder stent graft (Gore, Flagstaff, Arizona). The patient had a medical history significant for a 60 pack-year smoking history, stroke, and pelvic irradiation for prostate cancer.
As part of the patient's routine surveillance, he underwent computed tomography (CT) of the abdomen and pelvis 2 years after stent graft placement (Figure>, A). This prompted an abdominal aortogram and selective mesenteric arteriogram (Figure, B).
Computed tomography of the abdomen and pelvis (A) and superior mesenteric artery arteriogram (B).
A. Pelvic abscess
C. Gastrointestinal hemorrhage
D. Stent graft migration
Hasanadka R, Brown KR. Image of the Month—Quiz Case. Arch Surg. 2008;143(4):423. doi:10.1001/archsurg.143.4.423