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Ravishankar Hasanadka, MD; Kellie R. Brown, MD

Arch Surg. 2008;143(4):423.

	Since this article does not have an abstract, we have provided the first 126 words of the full text and any section headings.

INTRODUCTION

An 81-year-old man had a history of endovascular repair of an infrarenal abdominal aortic aneurysm, measuring 5.5 cm at the time of repair, with an Excluder stent graft (Gore, Flagstaff, Arizona). The patient had a medical history significant for a 60 pack-year smoking history, stroke, and pelvic irradiation for prostate cancer.

As part of the patient's routine surveillance, he underwent computed tomography (CT) of the abdomen and pelvis 2 years after stent graft placement (Figure, A). This prompted an abdominal aortogram and selective mesenteric arteriogram (Figure, B).

Figure appears in full text version. Figure. Computed tomography of the abdomen and pelvis (A) and superior mesenteric artery arteriogram (B).

What Is the Diagnosis?

A. Pelvic abscess

B. Endoleak

C. Gastrointestinal hemorrhage

D. Stent graft migration

Answer

Author Affiliations: Department of Surgery, Medical College of Wisconsin, Milwaukee.

SECTION EDITOR: GRACE S. ROZYCKI, MD

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