Case History
A 47 year-old female engineer with known EDS4 was referred to an upper gastrointestinal surgery clinic at a tertiary academic teaching hospital having had severe episodes of biliary colic.
The patient was well known to the vascular and cardiology departments with a stable 7mm renal artery and a 10mm splenic artery aneurysm and a normal aorta on annual surveillance. In addition, she had had a prior non-ST segment elevation myocardial infarction (NSTEMI) with a dissected right coronary artery requiring four drug eluted stents and long-term anti- platelet treatment.