Ruptured abdominal aortic aneurysm
Three days RIF and back pain ?appendicitis.
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6.3 x 6.3 x 6.2 cm ruptured infrarenal (approximately 1.5 cm inferior to the renal artery) abdominal aortic aneurysm.
Disruption of the calcification posterolaterally on the right at the level of L3/4 with dissociated adjacent epicentre of the haematoma is the likely point of rupture.
Large amount of retroperitoneal haematoma extending from the right posterior pararenal space into the pelvis displacing the duodenum anteriorly.
Ruptured abdominal aortic aneurysm.