Article information
Full Text
The patient is a 76-year-old male with type 2 DM, infiltrative cardiomyopathy and juxtarenal abdominal aortic aneurysm treated with an endoprosthesis. He came to the Emergency Department with vomiting and abdominal distension. Physical examination: afebrile, BP 108/70 mmHg, soft and depressible abdomen, no pain, palpable mass in the epigastrium. Laboratory tests: CRP 17.3, leukocytes 10210. Abdominal CT scan: infrarenal aneurysm sac causing extrinsic compression with significant dilation of the gastric chamber and duodenum. A) Axial view; B) coronal view. Red arrow: aneurysm sac (duodenal compression point). Blue arrow: proximal duodenum. White arrow: distal duodenum (Fig. 1).
