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Figure it out fridays 

#46

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A 33-year-old man was brought to the hospital due to sudden abdominal distension. He did not have any symptoms before the onset and denied histories of trauma. He had undergone cardiac surgery for arterial septal defect at 0 year old and total splenectomy for hereditary spherocytosis at 20 years old. Patient was stabilized, CT scan was done (as shown) and then underwent emergency laparotomy. What is the most likely diagnosis? 

 

A. Perforated gastric ulcer 

B. Ruptured aneurysm 

C. Spontaneous splenic hemorrhage

D. Ruptured neoplasm

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