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The clip above is from a patient who presented with abdominal pain and syncope. His vitals were notable for tachycardia and hypotension. The image demonstrates a very large abdominal aortic aneurysm with anterior free fluid suggestive of rupture. The patient was taken emergently to the operating room for endograft repair and did well. Jason Tanguay, DO #Clinical #Radiology #POCUS #AbdominalUS #AAA #Abdominal #Aortic #Aneurysm #Aorta #Ruptured