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Aorto-iliac occlusion masquerading as a ruptured abdominal aortic aneurysm
  1. L Regan1,
  2. S Wilkie2,
  3. J Thomson1
  1. 1Emergency Department, Aberdeen Royal Infirmary, Aberdeen, UK
  2. 2Radiology Department, Aberdeen Royal Infirmary, Aberdeen, UK
  1. Correspondence to Dr Luke Regan, Emergency Department, Aberdeen Royal Infirmary, Forresterhill, 47M Kingsgate, Aberdeen AB15 4EL, UK; lukeregan{at}

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A 52-year-old man with known hypertension had back pain, abdominal pain and right thigh pain for 3 days. Late on the third evening the pain became severe, prompting his attendance at our emergency department. The pain was severe and required opiate analgesia. Blood pressure was 180/81 mmHg and heart rate 59 beats/min. Physical examination revealed …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.