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A middle aged man presents with left flank pain radiating to the groin.
The aorta is normal.
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A middle aged man presents with left flank pain radiating to the groin.
Prior to the advent of rapidly accessible imaging, misdiagnosis of abdominal aortic aneurysm was common (many series describing one third of cases being misdiagnosed). Haematuria is well described, even including massive haematuria which may suggest the formation of arteriovenous fistula and venous congestion of the kidney and bladder.