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A 62-year-old man presented with an acute onset of severe lower back pain, hypotension, and nausea and vomiting. He had a history of hypertension and hypertriglyceridemia. On arrival, the patient was diaphoretic, with a blood pressure of 130/57 mm Hg and a heart rate of 84 beats per minute, and he had a markedly tender, pulsatile abdominal mass. He immediately underwent computed tomography (CT), performed with the use of contrast material; the study showed calcification in the aortic wall (Panel A, curved arrow) and a contained rupture of an abdominal aortic aneurysm, with active extravasation of contrast material (Panel A, . . . [Full Text of this Article] |
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