Interactive case report. A 66 year old woman with a rash: case outcome.

Three weeks ago (BMJ 2003;326:588) we published the case of Ruth, who presented to her general practitioner with a rash after feeling unwell for some time. She had dermatomyositis diagnosed and, during investigation for possible underlying causes, was found to have an aneurysm of the splenic artery (BMJ 2003;326:640). Ruth’s case was discussed at a multidisciplinary meeting and a decision was made to treat her aneurysm with a covered stent placed under fluoroscopic guidance by a radiologist. A theatre space was booked for the same time as the procedure in case of complications. She had a repeat angiogram and a wire was passed across the aneurysm.