case_images: PMC9885518_01
case_images: CT angiogram on initial presentation demonstrating an aneurysmal abdominal aorta but no contrast extravasation.
case_images: rjac579f1.jpg
case_images: PMC9885518_01_rjac579f1.jpg
case_images: f1
case_images: CT showed a likely AEF associated with a 7 cm inflamed aneurysmal sac posterior to the third part of the duodenum (Fig. 1).
case_images: (a and b) CT angiogram after EVAR demonstrating endoleak.
case_images: rjac579f2.jpg
case_images: PMC9885518_01_rjac579f2.jpg
case_images: f2
case_images: Final angiogram demonstrated patent renal and iliac arteries but a type 2 endoleak (Fig. 2a and b).
case_images: (a) CT angiogram demonstrating new gas in the aneurysmal sac 6 weeks post-repair; (b) CT angiogram just prior to the second repair, demonstrating ongoing endoleak and continuity of the duodenum and sac; part of the duodenal clip is visible.
case_images: rjac579f3.jpg
case_images: PMC9885518_01_rjac579f3.jpg
case_images: f3
case_images: CT angiography demonstrated new gas in the aneurysmal sac (Fig. 3a). CT angiography again demonstrated the type 2 endoleak, with active contrast extravasation into the third part of the duodenum (Fig. 3b).