Past Issues

　　Objective: major depression is a risk factor of cardiovascular disease and depression of late onset is associated with vascular change in origin which can be manifested as pain accompanying depressive mood. Here we report a case of major depression with cardiovascular disease and underlying atherosclerotic change of abdomial aorta including it's treatment and outcome. Case report: We report a case of major depression with persistent abdominal pain due to atherosclerotic change of the abdominal aorta which was misdiagnosed as being of psychogenic in origin. Lab data including lipid profile and abdominal computer tomography (CT) are presented, treatment and outcome are also discussed. Conclusion: Abdominal pain with cardiovascular disease and atherosclerotic change which gastroenterologists called abdominal angina can be misdiagnosed as psychogenic. Although it can be temporalily treated with anti-platelet agent and lipid lowering agent, the abdominal pain involved abvanced atherosclerotic change of abdominal aorta can be irreversible, impeding outcome and even fatal.