Conclusion:
Spontaneous aortic thrombosis is rare in occurrence, and prompt diagnosis is needed whenever encountering a case of unexplained abdominal pain or embolic phenomena. Evaluation includes abdominal imaging with either, CT scan or MRI, and the cause of the thrombosis needs to be evaluated thoroughly to rule out any secondary hypercoagulable states as well as evaluating for primary hypercoagulability. Treatment includes anticoagulation and if needed re-vascularization by endovascular methods.