BMJ Case Reports 2012; doi:10.1136/bcr.02.2012.5826
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Superior mesenteric artery branch pseudoaneurysm mimicking an acute appendicitis

  1. Jakub Kaczynski
  1. Vascular Surgery Department, ABM University Health Board, Swansea, UK
  1. Correspondence to Mr Jakub Kaczynski, jakub.kaczynski{at}


A 60-year old, healthy man presented with a 72 h history of an abdominal pain and nausea. Pain started initially in the epigastrium and migrated subsequently to the right iliac fossa (RIF). The patient denied any change in the bowel habit, rectal bleeding or weight loss. There was no history of previous abdominal pain or surgery. The provisional diagnosis of an acute appendicitis was made, but due to patient’s age a CT was performed in order to exclude colonic malignancy before any surgical intervention. Examination revealed normal observations and soft abdomen with percussion tenderness in …

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