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Das et al's case report (1) certainly made interesting reading, but
unlike Peile (2) I was not surprised at the lack of response from the
readership. I suspect that all doctors would know that an 8cm AAA is life-
threatening; certainly more immediately so than a renal cell cancer.
However, operative managment is best left to experts, as was done in this
case. A general journal like the BMJ probably does not attract a large
audience of such specialists and so was unlikely to provoke a large
(1) Saroj Kumar Das, Devdatta Sarwate, J K Mordani, K J Ng, and Mark
BMJ 2006 332: 1198
(2)Ed Peile Interactivity and case learning
BMJ 2006; 332: 1201