Masse abdominale pulsatile : anévrysme aortique géant

We will analyze the file of a rather elderly patient who presented to the emergency room with a tender, pulsatile abdominal mass. The visual examination, reproduced here using 3D surface reconstructions, reveals this periumbilical abdominal mass related to a giant AAA. The pulsatile nature is already visible visually and confirmed by palpation. The role of the CT scan will be, in addition to confirming this clinical diagnosis, to look for signs of rupture/fissuration, and to conduct a preoperative assessment to assist in the choice of surgical technique. ABOUT THIS VIDEO It was filmed and edited in Strasbourg in July 2025. The data I present here are the most up-to-date according to my current knowledge. WHO AM I? Professor Mickaël Ohana, PU-PH in Radiology at the Strasbourg University Hospital (France). I am a radiologist specializing in diagnostic cardiovascular and thoracic imaging. My specific area of expertise is therefore cardiac, thoracic, and vascular cross-sectional imaging (CT and MRI), for which I completed two fellowships (clinical fellowships): 1/ one in Strasbourg (France) in 2011-2013 in thoracic imaging, 2/ and a second in Vancouver (Canada) in 2016-2017 in cardiac imaging. As a radiologist, I also provide out-of-hours care and therefore emergency examinations for all patients. Being fortunate enough to work in a university hospital, we see exceptional and instructive cases every day, which I try to share with you. As an academic, I am also involved in research and teaching. Those interested can find a complete and up-to-date list of my scientific publications here: vu.fr/ohana WHY DO I MAKE VIDEOS? I'm passionate about radiology, and the central role of radiology and the radiologist is unfortunately still little known, especially outside of hospitals. Likewise, our specialty is evolving at the speed of light, and new indications and possibilities appear very regularly. The goal is to share with you didactic cases, articles, courses, and food for thought to highlight the role of the radiologist and draw attention to new options available in radiology. In short, sharing knowledge with as many people as possible, doctors and the curious alike: for a visual specialty like radiology, YouTube is the best place! TIMELINE 00:00 Introduction 01:28 Technical Update 03:47 CT Analysis 09:14 Post-operative CT Scan 10:31 Conclusion