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A 54 years old male, chronic smoker, hypertensive on beta blocker presented to the emergency room with a history of syncopal attacks from early morning followed by severe abdominal and back pain lasting for four hours. There was no history of trauma, fever or change in bowel habits.
On physical examination, the patient was drowsy with a heart rate of 70 beats per minute and blood pressure of 60/30 mmHg. The abdomen was distended with mild tenderness. No pulsatile abdominal mass was felt and no audible abdominal bruit was heard. Femoral and distal pulses were palpable. Both his feet were cold to touch. An urgent CT scan with intravenous contrast was done.
Figure 1: A sagittal CT scan view
Figure 2: An axial CT scan view
Figure 3: A coronal CT scan view
QUESTIONS
What are the CT scan findings?
What is your diagnosis?
What are your treatment options?
Answers
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