Aorto-iliac occlusion masquerading as a ruptured abdominal aortic aneurysm

A 52-year-old man with known hypertension had back pain, abdominal pain and right thigh pain for 3 days. Late on the third evening the pain became severe, prompting his attendance at our emergency department. The pain was severe and required opiate analgesia. Blood pressure was 180/81 mmHg and heart rate 59 beats/min. Physical examination revealed …