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Fig. 7A —45-year-old man who presented with syncope due to spontaneous, intraperitoneal hemorrhage while exercising, source of which was not identified during surgical exploration or by postoperative CT angiography at outside institution. Axial early venous phase image (A) and sagittal multiplanar reformation (B) from IV contrast-enhanced MDCT reveal 2.5-cm aneurysm posterior to pancreas and adjacent residual retroperitoneal and intraperitoneal hemorrhage.