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Rupture of the common iliac artery aneurysm presenting with abdominal pain and fever

The common iliac artery aneurysms are rare and usually present in patients with abdominal aortic aneurysms. They are most commonly asymptomatic and the clinical symptoms are non-specific, including abdominal pain, genitourinary symptoms, back pain and sciatica. The rupture usually causes haemodynamic instability and carries a high mortality rate. We describe an elderly patient presenting with abdominal pain and fever who had a pulsating mass in the lower right quadrant of the abdomen, diagnosed via point-of-care ultrasound. The definite diagnosis was made with computed tomography and the patient was urgently transferred to the surgery department.

Iliac Aneurysm ; Aneurysm , Ruptured ; Abdominal Pain

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