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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}


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.

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  • Competing interests: None declared