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A 57-year-old Polish gentleman presented with persistent upper abdominal pain exacerbated by eating. Abdominal ultrasound scan performed in Poland showed a 4.4 cm mass in the region of the abdominal aorta reported as an abdominal aortic aneurysm. Subsequent CT imaging demonstrated a normal calibre aorta, surrounded by a soft tissue mass in conjunction with left-sided hydronephrosis (figure …