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Fig. 2A. —79-year-old man with acute rupture of abdominal aortic aneurysm that occurred during CT. Contrast-enhanced CT scan obtained at level of extravasation (open arrow) shows large left retroperitoneal hematoma and enhanced blood in left paracolic gutter (solid straight arrow). Note eccentric intramural hematoma (curved arrow) within aortic lumen on side of extravasation.