Endocrine Case Report: Groin Pain and Syncope

Our latest endocrine case report features a man in his mid-60’s with a history of diabetes and obesity presenting with left groin pain followed by a syncopal episode. Check out the CT scan and determine the correct diagnosis.

History of Present Illness:

A man in his mid-60’s with a history of diabetes and obesity presents to the hospital for one day of left groin pain that started in the morning and became severe after dinner followed by a syncopal episode

Vital Signs & Physical Exam:

Vital signs are normal except for pulse of 48 and BP of 88/62. The physical exam is otherwise normal except for diminished left leg pulse (ALWAYS CHECK THE PULSE IN THE FOOT WITH ANY COMPLAINT INVOLVING THE LEG).

Initial Diagnostic Testing:

EKG: sinus bradycardia

Labs: CBC shows a WBC count of 13 and Hb of 12.2

Imaging: a CT scan is done

What is the most likely diagnosis?