A rare clinical presentation of aortic dissection
Aortic dissection (AoD) is one of the most common catastrophes involving the aorta. Nevertheless, early diagnosis remains to be a challenge in the emergency department (ED), particularly in young individuals. The diagnosis of acute AoD is often delayed secondarily to its propensity to masquerade as...
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Wolters Kluwer Medknow Publications
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doaj-f5ec03a0493c4c8b8ea04af344474ad42020-11-24T21:22:59ZengWolters Kluwer Medknow PublicationsJournal of Medical Sciences1011-45642014-01-0134313713910.4103/1011-4564.134409A rare clinical presentation of aortic dissectionChing-Chih LiuShaojung LiKo-Chiang HsuAortic dissection (AoD) is one of the most common catastrophes involving the aorta. Nevertheless, early diagnosis remains to be a challenge in the emergency department (ED), particularly in young individuals. The diagnosis of acute AoD is often delayed secondarily to its propensity to masquerade as other illnesses (i.e., renal colic, spinal-cord injury, and acute cauda equina syndrome) that result in acute lower-back pain (LBP). Here, we report a 38-year-old man who presented to our ED because of acute LBP with one leg numbness and weakness. It was subsequently found to have acute Type A AoD. This young man was diagnosed early in the ED and treated promptly without major adverse sequelae. We highlight that ED physicians should always keep high alertness in vascular emergencies (i.e., acute AoD), whilst engaging a patient with an acute-onset severe LBP with one leg numbness and weakness.http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2014;volume=34;issue=3;spage=137;epage=139;aulast=LiuLower-back painaortic dissectionlimb cynosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ching-Chih Liu Shaojung Li Ko-Chiang Hsu |
spellingShingle |
Ching-Chih Liu Shaojung Li Ko-Chiang Hsu A rare clinical presentation of aortic dissection Journal of Medical Sciences Lower-back pain aortic dissection limb cynosis |
author_facet |
Ching-Chih Liu Shaojung Li Ko-Chiang Hsu |
author_sort |
Ching-Chih Liu |
title |
A rare clinical presentation of aortic dissection |
title_short |
A rare clinical presentation of aortic dissection |
title_full |
A rare clinical presentation of aortic dissection |
title_fullStr |
A rare clinical presentation of aortic dissection |
title_full_unstemmed |
A rare clinical presentation of aortic dissection |
title_sort |
rare clinical presentation of aortic dissection |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Medical Sciences |
issn |
1011-4564 |
publishDate |
2014-01-01 |
description |
Aortic dissection (AoD) is one of the most common catastrophes involving the aorta. Nevertheless, early diagnosis remains to be a challenge in the emergency department (ED), particularly in young individuals. The diagnosis of acute AoD is often delayed secondarily to its propensity to masquerade as other illnesses (i.e., renal colic, spinal-cord injury, and acute cauda equina syndrome) that result in acute lower-back pain (LBP). Here, we report a 38-year-old man who presented to our ED because of acute LBP with one leg numbness and weakness. It was subsequently found to have acute Type A AoD. This young man was diagnosed early in the ED and treated promptly without major adverse sequelae. We highlight that ED physicians should always keep high alertness in vascular emergencies (i.e., acute AoD), whilst engaging a patient with an acute-onset severe LBP with one leg numbness and weakness. |
topic |
Lower-back pain aortic dissection limb cynosis |
url |
http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2014;volume=34;issue=3;spage=137;epage=139;aulast=Liu |
work_keys_str_mv |
AT chingchihliu arareclinicalpresentationofaorticdissection AT shaojungli arareclinicalpresentationofaorticdissection AT kochianghsu arareclinicalpresentationofaorticdissection AT chingchihliu rareclinicalpresentationofaorticdissection AT shaojungli rareclinicalpresentationofaorticdissection AT kochianghsu rareclinicalpresentationofaorticdissection |
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