Rupture Introduction

Rupture

The Common Vein Copyright 2007

Definition

Rupture of a vessel is … 

characterized by …..

caused by ..etiology or predisposing factors

resulting in a pathological feature (structural change or functional change)  or clinical feauture

Sometimes complicated by ….

Diagnosis is suspected clinically by … and confirmed by ….

Imaging includes the use of

Treatment options depend on …. but includes …..

Etymology if available

Principles

Penetrating Ulcer with Rupture
17529c01 artery descending thoracic aorta abdominal aorta dx rupture pseudoaneumysm ulcerating plaque mural hematoma ruptured through aortic wall hemorrhage hematoma retroperitoneum CTscan Courtesy Ashley DAvidoff MD Ashley Davidoff MD

Ruptured Pseudoaneurysm of the Right Common Iliac Artery
75727c01 elderly man with acute pelvic and back pain aorta iliac artery RLQ right lower quadrant artery pseudoaneurysm ruptured aneurysm retroperitoneal hematoma hemorrhage CTscan Courtesy Ashley Davidoff MD Courtesy Rebecca Schwartz MD 75727c01 75727c02 75724c01 75727c03

Ruptured Pseudoaneurysm of the Right Common Iliac Artery
75724c01 elderly man with acute pelvic and back pain aorta iliac artery RLQ right lower quadrant artery pseudoaneurysm ruptured aneurysm retroperitoneal hematoma hemorrhage CTscan Courtesy Ashley Davidoff MD Courtesy Rebecca Schwartz MD 75727c01 75727c02 75724c01 75727c03

Subarachnoid blood

In the axial images of the brain using CT, there are subtle accumulations of high density material outlined in red in image b, representing acute subarachnoid hemorrhage.  In the patient who presents with a severe acute headache this can be a life threatening rupture of a cerebral berry aneurysm.

17362c01 brain head subarachnoid blood following trauma hemorrhage CTscan Courtesy Ashley Davidoff MD

Acalculous Cholecystitis Complicated by Ruptured Gallbladder
27222c01.8s 47F gallbladder indurated fat fluid anterior pararenal space Morrisons pouch perirenal space acalculous cholecystitis rupture perforation flattened IVC inferior vena cava dehydration decreased intravascular volume Courtesy Ashley Davidoff MD copyright 2008