Radiographic Findings of a Ruptured Abdominal Aortic Aneurysm

A 69-year-old man with a history of gastric ulcer and hypertension presented to the emergency department complaining of a sudden onset of epigastric pain and vomiting some coffee-ground fluid. The patient appeared to be in distress. His blood pressure was 82/64 mm Hg, and his heart rate was 79 bpm. On physical examination, his upper abdomen was tender with guarding, and we heard diffuse hypoactive bowel sounds. The chest radiograph was …