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Case Records of the Massachusetts General HospitalFree Preview

Case 16-2021: A 37-Year-Old Woman with Abdominal Pain and Aortic Dilatation

List of authors.
  • Anahita Dua, M.D.,
  • Patrick D. Sutphin, M.D., Ph.D.,
  • Mark J. Siedner, M.D., M.P.H.,
  • and Jakob Moran, M.D.

A 37-year-old woman with a history of injection-drug use was admitted with 3 weeks of abdominal pain. CT angiography showed aneurysmal dilatation of the infrarenal abdominal aorta (aortic diameter, 3.9 cm). Management decisions were made.

Funding and Disclosures

This case was presented at Surgery Grand Rounds.

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

No potential conflict of interest relevant to this article was reported.

We thank Drs. Yin P. Hung, Melis N. Anahtar, Julian Villalba, and James R. Stone for assistance with the pathological and diagnostic discussion.

Author Affiliations

From the Departments of Surgery (A.D.), Radiology (P.D.S.), Medicine (M.J.S.), and Pathology (J.M.), Massachusetts General Hospital, and the Departments of Surgery (A.D.), Radiology (P.D.S.), Medicine (M.J.S.), and Pathology (J.M.), Harvard Medical School both in Boston.

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