case_images: PMC11827920_01
case_images: PMC11827920_02
case_images: AAA in situ of Donor 1 before (Panel A) and after (Panels B, C) abdominal aorta was incised. Borders of the AAA visible during dissection are marked by dashed lines. . AAA: abdominal aortic aneurysm
case_images: cureus-0017-00000077489-i01.jpg
case_images: PMC11827920_02_cureus-0017-00000077489-i01.jpg
case_images: FIG1
case_images: AAA, it originally appeared to be displacing the proximal duodenum laterally to the right (Figure 1). After further dissection, the borders of the AAA were identified.
case_images: Thrombus removed from Donor 1. Arrows mark formations dissected from the common iliac arteries.
case_images: cureus-0017-00000077489-i02.jpg
case_images: PMC11827920_02_cureus-0017-00000077489-i02.jpg
case_images: FIG2
case_images: Panel A: Clot extended into left common and external iliac arteries. Panel B: Clot extended into left femoral artery.
case_images: cureus-0017-00000077489-i03.jpg
case_images: PMC11827920_02_cureus-0017-00000077489-i03.jpg
case_images: FIG3
case_images: Larger clots also extended into the external and internal iliac arteries and smaller clusters of clots extended into the femoral arteries (Figure 3). 
case_images: Left ovarian vein and ovarian cysts of Donor 1 (Panel A), with the left ovarian vein draining to the left renal vein (Panel B).
case_images: cureus-0017-00000077489-i04.jpg
case_images: PMC11827920_02_cureus-0017-00000077489-i04.jpg
case_images: FIG4
case_images: Upon further investigation of the abdomen and pelvis of the donor, more abnormalities were noted, including additional atherosclerosis and dilation of the left ovarian vein (Figure 4B) and multiple ovarian cysts (Figure 4A).
case_images: PMC11827920_03
case_images: AAA and dilated right common iliac artery of Donor 2 (Panel A): the incised abdominal aorta (B) and incised right common iliac artery (Panel C) are reflected to show stent. AAA: abdominal aortic aneurysm
case_images: cureus-0017-00000077489-i05.jpg
case_images: PMC11827920_03_cureus-0017-00000077489-i05.jpg
case_images: FIG5
case_images: During the routine prosection of an 83-year-old male anatomical donor (Donor 2), a large AAA was discovered (Figure 5A, 5B). The abdominal aorta was opened, and a stent was noted (Figure 5B).
case_images: Panel A: Dilated common iliac arteries of Donor 2. Panel B: Incised and reflected right common iliac artery to show stent.
case_images: cureus-0017-00000077489-i06.jpg
case_images: PMC11827920_03_cureus-0017-00000077489-i06.jpg
case_images: FIG6
case_images: Additional clots extended through the distal aorta, the aortic bifurcation, and into the common iliac arteries (Figure 6A, 6B).