Een man met een opgeblazen gevoel

A 73-year-old man with an aneurysm of the abdominal aorta (AAA) presented with abdominal bloating. CT-angiography showed compression of the duodenum between the AAA and the pancreas and superior mesenteric artery with dilatation of the descending duodenum, leading to the diagnosis of mechanical duodenal obstruction due to compression by an AAA.

Conflict of interest and financial support: none declared.