Clinical Focus 
 Case Report

Urgent surgery for a ruptured abdominal aortic aneurysm

An elderly man presents to ED with worsening pain. What’s the next move?
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20 May 2019
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Axial ct abdominal aortic aneurysm
Figure 1. Axial CT demonstrating ruptured 7cm abdominal aortic aneurysm.

Bill, a normally well 74-year-old, presents to the emergency department of a regional Queensland hospital via ambulance.

He complains of central to right-sided abdominal pain that has been brewing over the previous 48 hours. He first noticed the pain in the hypogastric region, with variable intensity.

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