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Emerg Med J 2007;24:602 doi:10.1136/emj.2007.047696
  • Emergency casebook

Unusual cause of a pulsatile abdominal mass

  1. Hawar Akrawi,
  2. Diana Hulbert
  1. Department of Emergency Medicine, Southampton General Hospital, Southamptom, UK
  1. Correspondence to:
 MrHawar Akrawi
 Flat 8, Nirvana Place, 384 Winchester Road, Southampton, SO16 7 BB, UK; hakrawi{at}yahoo.com
  • Accepted 21 April 2007

Abstract

A case of pulsation in the abdomen induced by a maladjusted cardiac pacemaker–CRT (cardiac resynchronisation therapy) with an implantable defibrillator is presented. The CRT stimulated the diaphragm causing a repetitive contraction synchronised with the heart beat, giving the picture of an abdominal aortic aneurysm.

Footnotes

  • Competing interests: None declared

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