The Einstein Sign: The Clinical Picture of Acute Cholecystitis Caused by Ruptured Abdominal Aortic Aneurysm

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Abstract
To the Editor: The expanding retroperitoneal hematoma caused by a ruptured abdominal aortic aneurysm results in a changing clinical picture; it is not always appreciated that a right-sided pain may develop and mimic right-sided renal colic or even acute cholecystitis. This brief case report is illustrative.Albert Einstein was admitted to Princeton Hospital on the morning of April 15, 1955, with generalized abdominal pain, which was most intense in the right upper quadrant. About 10 years earlier a "grapefruit-sized aneurysm" of the distal abdominal aorta had been diagnosed at an "abdominal exploration and omentopexy" according to a report attached to . . .

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