Case presentation A 68-year-old male was presented to the emergency department with a one-hour history of pain in the left side of the abdomen. The pain started suddenly while getting up from a chair, remained constant, and radiated to his back. He had a history of hypertension and stable angina. Examination The patient is pale, sweaty, and clammy. Pulse rate – 100/minute Blood pressure – 90/50 mmHg Heart sounds are normal, and the chest is clear.
Abdominal examination reveals a large tender mass in the epigastrium. The mass is pulsatile and expansible. The peripheral pulses are present and equal on both sides. No neurological deficit. Investigations: Test values Normal values Hemoglobin 9.3g/dL 11.5-16.0 g/dL Mean cell volume …
