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Fig. 1C 67-year-old man with known abdominal aortic aneurysm who had
3-month history of lower back and right groin pain. Patient underwent MRI of
lumbar spine and pelvis. Contiguous axial CT angiograms obtained immediately
after MRI reveal large right retroperitoneal hematoma with contrast
extravasation from posterolateral aorta (arrows, C and
E). Operatively, large right retroperitoneal hematoma was seen, and
pathologic evaluation revealed area of aortic wall discontinuity and
associated organized hematoma.