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Case report
Republished: Intercostal artery pseudoaneurysm with spontaneous resolution in the setting of an artery of Adamkiewicz
  1. Aanchal Agarwal1,
  2. Yuranga Weerakkody1,
  3. Martin Marshall1,
  4. Tejinder Singh2
  1. 1Department of Diagnostic and Interventional Imaging, Royal Perth Hospital, Perth, Western Australia, Australia
  2. 2Neurological Intervention and Imaging Service of Western Australia (NIISWA), Perth, Australia
  1. Correspondence to Dr A Agarwal, Department of Diagnostic and Interventional Imaging, Royal Perth Hospital, Wellington Street, Perth, WA 6001, Australia; aanchal.a{at}


We report an extremely unique and previously unreported case of a pseudoaneurysm arising from an intercostal artery that also gave origin to the artery of Adamkiewicz. Due to the potential risk of losing the artery of Adamkiewicz, a conservative approach was indicated. On short interval follow-up imaging, the pseudoaneurysm and associated hematoma spontaneously resolved with preservation of the intercostal artery. We performed a literature review of the natural course of pseudoaneurysm as well as their occurrence in the intercostal arteries.

  • CT Angiography
  • Intervention
  • Aneurysm
  • Spine

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  • Republished with permission from BMJ Case Reports Published 30 December 2016; doi:10.1136/bcr-2016-012802

  • Contributors AA, YW, MM, TS.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.