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A patient in his 80s was brought to our emergency department with severe abdominal pain, hypotension and bradycardia. Initial laboratory findings revealed lactic acidosis. An abdominal CT was requested to rule out intestinal ischaemia or visceral perforation.
The CT showed blood-contrast levels in the superior vena cava and right auricle (figure 1, arrows in A) with minimal contrast flow …
Footnotes
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Contributors The authors have participated in the realisation, revision and correction of the manuscript and its images. The main author has done the bibliographic research and redacted the manuscript. Both authors have chosen the best showing images. All the authors read and approved the manuscript.
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Competing interests None.
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Patient consent Obtained from the next of kin.
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Provenance and peer review Not commissioned; internally peer reviewed.