Clinical Case Database / Category: Case Based Discussion

Ruptured abdominal aneurysm

Publication details

Mr Shiva Dindyal BSc MBBS MRCS, Mr Constantinos Kyriakides MB ChB MD FRCS
Foundation Years Journal, volume 2, issue 8, p.29 (123Doc Education, London, October 2008)


A 65-year-old retired builder was admitted to casualty following a collapse. He was tachycardic and hypotensive with an increasingly distended abdomen. He was becoming drowsier and complaining of generalised abdominal and back pain. Previously he had suffered a myocardial infarction and was diabetic. He smoked 20 cigarettes a day and was clinically obese. On examination, he was cold, clammy and distressed. His abdomen was generally tender, distended, tense and pulsatile.

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Mr Shiva Dindyal BSc MBBS MRCS (Corresponding author)

General Surgery Specialty Registrar/Vascular
and Endovascular Research Fellow
Barts and The London NHS Trust
Circulatory Sciences Clinical Academic Unit
The Royal London Hospital
London E1 1BB

Mr Constantinos Kyriakides MB ChB MD FRCS

Consultant Vascular and Endovascular Surgeon
Barts and The London NHS Trust
Circulatory Sciences Clinical Academic Unit
London, UK


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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