case_images: PMC9980874_01
case_images: Computed tomography angiogram (CTA) chest and CTA abdomen and pelvis of the patient.. The images show (A) CTA chest showing an unruptured 1.7 x 0.7 x 1.3 cm saccular aneurysm of the posterior wall of the ascending aorta (red arrow) and (B) CTA abdomen and pelvis showing diffuse aneurysmal dilation (green arrow) of infrarenal abdominal aorta measuring 4.4 x 4.3 cm with no leak or rupture along with a short segment of aortic dissection flap involving 4 cm long segment of aorta.
case_images: cureus-0015-00000034461-i01.jpg
case_images: PMC9980874_01_cureus-0015-00000034461-i01.jpg
case_images: FIG1
case_images: Computed tomography angiogram (CTA) chest showed an unruptured 1.7 x 0.7 x 1.3 cm saccular aneurysm of the posterior wall of the ascending wall (Figure 1A). CTA abdomen and pelvis showed AAA (4.3 x 4.3 cm) with no leakage or rupture and no active bleeding detected (Figure 1B).
case_images: Esophagogastroduodenoscopy (EGD) showing clotted blood in the fundus, first and second parts of the duodenum (green arrows).
case_images: cureus-0015-00000034461-i02.jpg
case_images: PMC9980874_01_cureus-0015-00000034461-i02.jpg
case_images: FIG2
case_images: Emergent EGD showed gastritis and clotted blood in the fundus as well as in the first and second parts of the duodenum (Figure 2).
case_images: Tagged RBC scan showing massive blood (red arrows) throughout the stomach and proximal small bowel (red arrows).
case_images: cureus-0015-00000034461-i03.jpg
case_images: PMC9980874_01_cureus-0015-00000034461-i03.jpg
case_images: FIG3
case_images: To localize the bleeding source, a tagged RBC scan was performed and showed active bleeding in the stomach and small bowel (Figure 3).