A ruptured left common iliac aneurysm presenting as testicular pain in a 56-year-old man.

A 56-year-old man with a history of hypertension presented with sudden severe left testicular pain suspected to be testicular torsion. On examination his heart rate was 102 bpm; blood pressure 85/50 mm Hg; testicular examination was normal; the abdomen was soft non-tender with no palpable mass and the left femoral pulse was reduced, not consistent with torsion. A Focused Assessment with Sonography in Trauma (FAST) scan showed fluid in the abdomen and suggested the presence of an iliac aneurysm. An urgent CT angiogram showed …