Penetrating ulcer with mural hematoma and aortic rupture

A magnified view of the abdominal aorta (A) shows a wide mouthed penetrating ulcer (asterisk) with a mural hematoma (arrows). Image B shows a large high density mural hematoma (arrows), high density hematoma in the right psoas muscle (asterisk), and extension of the bleed into the surrounding soft tissues (arrowheads).