Case Outcome: Following review of the abdominal x-ray, an urgent CT aortogram was undertaken which showed an abdominal aortic aneurysm (AAA) measuring 13 cm in width and 18.9 cm in length (Figure 2 and 3). Furthermore there was some stranding of tissue around the margins of the aorta superiorly consistent with an early leak of the aneurysm. Surgical repair of the giant AAA was carried out; however two days after operation the patient deteriorated suddenly and despite all attempts at resuscitation, he passed away. [download-attachments container="div" style="list" display_icon="1" display_count="1" display__size="0"]