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Previous Volume 358:178-186 January 10, 2008 Number 2 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

Dr. Megan Fix (Emergency Medicine): A 45-year-old man was transferred on an emergency basis to this hospital from a community health center because of abdominal pain and hypotension.

On the day of admission, while lifting an air conditioner, he suddenly experienced severe abdominal pain, along with weakness and diaphoresis. He went to a community health center, arriving approximately 20 minutes later. He rated the pain as 10 on a scale of 0 to 10 (with 10 representing the most severe pain). He had not vomited. On examination, he was pale, profusely diaphoretic, and in extreme discomfort. His blood pressure was . . . [Full Text of this Article]

Differential Diagnosis and Management

Emergency Evaluation and Management

            Differential Diagnosis of Circulatory Shock

            Management of Hemorrhagic Shock

Surgical Evaluation and Management

            Identifying the Source of the Hemorrhage

            Focused Assessment with Sonography for Trauma

            Exploratory Laparotomy Findings

Dr. Marc A. de Moya's Diagnosis

Pancreaticoduodenal Aneurysms

            Celiac-Artery Stenosis

            Management of Pancreaticoduodenal Aneurysm

Vascular Radiographic Evaluation and Management

Anatomical Diagnosis

Source Information

From the Divisions of Trauma, Emergency Surgery, and Surgical Critical Care (M.A.M.) and Vascular and Endovascular Surgery (G.M.L.), and the Departments of Emergency Medicine (A.T.R.), and Radiology (S.P.K.), Massachusetts General Hospital; and General Surgical Service (M.A.M., G.M.L.), and the Departments of Medicine (A.T.R.) and Radiology (S.P.K.), Harvard Medical School.

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