Exam questionKROK 2Medicine ยท 2011
A 62-year-old patient has been delivered to the surgical department with complaints of sudden pain in the umbilical region irradiating to the back and groin, which was accompanied by a syncope. Objectively: the patient is in grave condition, umbilical region is tender on palpation, bowel sounds are diminished. AP drop is present. USI reveals: free fluid in the abdomen, thickening of the wall of the abdominal aorta. The most likely diagnosis is:
Answer options
- Rupture of abdominal aortic aneurism
- Peritonitis
- Acute pancreatitis
- Acute appendicitis
- Stomach ulcer perforation
Correct answer
Rupture of abdominal aortic aneurism
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