A patient presents with sudden onset severe abdominal pain and hypotension – what’s the diagnosis?
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Interesting case Abdominal 22
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Key findings and diagnosis – A large volume haemoperitoneum is present. There is a ‘sentinel clot’ at the root of the mesentery, at the superior margin of which a 5mm ovoid enhancing structure is present (axial image 84) concerning for a mesenteric aneurysm here, which has ruptured, accounting for the haemoperitoneum. This was confirmed at surgery
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