A 45-year-old man was transferred to the emergency department because of the sudden onset of abdominal pain, followed by hypotension. Except for a history of alcohol abuse and probable hepatic cirrhosis, he had been well until the morning of admission, when he experienced sharp abdominal pain while lifting a heavy object. He went to a local health center, where hypotension was noted, and was transferred to this hospital. Diagnostic and therapeutic procedures were performed.
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