An 84 year-old man presented with 2 weeks of worsening back pain. At the referring hospital, he was noted to have serum transaminase levels of 600 to 1000 U/L. An ultrasound scan to evaluate his gallbladder was interpreted as showing a 5to 6-cm ruptured aneurysm of the abdominal aorta. He was transferred for management of the aortic aneurysm. On arrival, he was hemodynamically stable, ashen, an...
