# A Rare Case of Isolated Abdominal Aortic Injury in Blunt Abdominal Trauma: A Case Report

## TL;DR

A 26-year-old man with a rare isolated abdominal aortic injury from trauma was successfully treated without surgery.

## Contribution

This case report highlights a rare instance of isolated low-grade abdominal aortic injury managed conservatively.

## Key findings

- Contrast-enhanced CT confirmed a low-grade isolated abdominal aortic injury.
- The patient was successfully managed with conservative treatment despite initial negative FAST scan.
- Persistent abdominal pain led to further imaging and accurate diagnosis.

## Abstract

Traumatic abdominal aortic injury (TAAI) rarely occurs in isolation and is usually associated with spinal, solid organ, or other hollow viscus injuries. Contrast-enhanced computed tomography (CECT) is the preferred modality of investigation. CECT can provide accurate details about the grade, location, and extent of injury. These details are essential in planning the management. Depending upon the grade of injury, management can be conservative or surgical. Low-grade injuries can be managed conservatively. Here, we present a case of a 26-year-old male patient with a low-grade isolated abdominal aortic injury diagnosed on CECT following blunt abdominal trauma, with an initial negative focused assessment with sonography in trauma (FAST) scan and persistent abdominal pain, managed successfully with conservative treatment.