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Retroperitoneal fibrosis misinterpreted as an abdominal aortic aneurysm on ultrasound
  1. Daniel Bye,
  2. Tom Wiggins,
  3. Bernadette Pereira,
  4. Stephen Brearley
  1. Department of Vascular Surgery, Whipps Cross University Hospital, London, UK
  1. Correspondence to Mr Tom Wiggins, thomas.wiggins{at}

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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 …

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