31st July 2023

A 73-year-old man is brought in by ambulance to A&E with a rapidly falling blood pressure

A 73-year-old man is brought in by ambulance to A&E with a rapidly falling blood pressure. The paramedics report that the patient’s house smelled of stale cigarette smoke. In the ambulance, he was complaining of lower back pain and abdominal pain.

What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.