Case presentation A 70-year-old woman was admitted to the hospital with the onset of acute abdominal pain. The abdominal pain started suddenly 24 hours before admission. It was a constant central abdominal pain. Medical history Occasional angina on exertion for five years; she had glyceryl trinitrate spray, but she has not needed this for the last three months. Before one year, she was in atrial fibrillation at 120/min; she was started on digoxin, which she was still taking at the time of hospitalization. Hysterectomy for menorrhagia before 30 years.
She has controlled hypertension on a small dose of a thiazide diuretic for three years. Medication history She was not taking any other medication other than low-dose aspirin. Physical examination Normal respiratory examination. Blood pressure of 114/76 mmHg and atrial fibrillation at a rate of 92/min. No palpable masses in the abdomen…
