Ruptured abdominal aortic aneurysm is one of the devastating emergency cases where the saying "time is life" comes to a reality situation and should be learned to every junior radiologist. 

In this case, there is active bleeding from the ruptured abdominal aortic aneurysm with the signs of blood loss and shock radiologically appreciable. 

In such a case, direct contact with the emergency and vascular staff is a must.