Ductus diverticulum

Case contributed by Dr Alan Jossimar Zavala Vargas

Presentation

Acute chest pain and respiratory distress. Discard pulmonary embolism.

Patient Data

Age: 50 years
Gender: Female
CT

Contrast CT shows an out pouching of the thoracic aorta at the anteromedial aspect of the isthmus, where the ligamentum arteriosum attaches. No filling defect to suggest a pulmonary embolism (the reason why the study was requested).

Case Discussion

Ductus diverticulum is typically an incidental finding.  Most patients are asymptomatic. It presents in 9 - 26% of adults. 

The radiologist must recognize and be very careful to differentiate pseudoaneurysm from the ductus diverticulum if there is a history of trauma.

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Case information

rID: 69991
Published: 13th Aug 2019
Last edited: 14th Aug 2019
System: Vascular
Inclusion in quiz mode: Included
Institution: CENTRO MEDICO ABC

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