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Man with left flank pain
  1. George Gozari,
  2. Chung-Yueh Shih,
  3. Tou-Yuan Tsai
  1. Emergency Department, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi County, Taiwan
  1. Correspondence to Dr Tou-Yuan Tsai, Emergency Department, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi County 622, Taiwan; 96311123{at}gms.tcu.edu.tw

https://doi.org/10.1136/emermed-2020-209551

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    Clinical introduction

    A 54-year-old robust man presented to the emergency department with sudden onset, sharp, left flank pain, radiating to the epigastrium which began several hours before arrival. He was in a good state of health until 1 week before when he developed pulsatile left lower chest pain. On physical examination, the patient was conscious, afebrile, with pulse rate of 84 beats/min and blood pressure of 150/105 mm Hg. His abdomen was soft but tender over left …

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    Footnotes

    • Twitter @Theodore_Tsai

    • Contributors GG was a major contributor in writing the manuscript. C-YS and T-YT revised the manuscript for intellectual content of the manuscript, the figures and the video.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting or dissemination plans of this research.

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