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A 76-year-old man presented with mild back pain of 2 weeks' duration. The physical examination revealed a blood pressure of 140/85 mm Hg and a pulsatile, nontender abdominal mass (Panel A). On cardiac examination, the point of maximal impulse was nondisplaced, and all peripheral pulses were palpable. The patient's medical history was notable for hypertension, which had been diagnosed 20 years earlier and was well controlled with medical therapy. He had undergone a laparotomy 15 years earlier for peptic ulcer disease. The patient was a nonsmoker and had no family history of aneurysm or connective tissue disease. He had received . . . [Full Text of this Article] |
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