Pseudoaortic dissection
A 72-year-old man was brought to our emergency department (ED) because of upper abdominal pain. Initial vitals at the triage station were significant only for high blood pressure. Computed tomography (CT) of the abdomen with contrast enhancement revealed an intimal flap over his descending aorta, th...
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| Veröffentlicht in: | The American journal of emergency medicine 2012-07, Vol.30 (6), p.1011.e5-1011.e6 |
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| container_end_page | 1011.e6 |
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| container_title | The American journal of emergency medicine |
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| creator | Tan, Ken-Hing, MD Ko, Shih-Yu, MD Chou, Sun-Li, MD |
| description | A 72-year-old man was brought to our emergency department (ED) because of upper abdominal pain. Initial vitals at the triage station were significant only for high blood pressure. Computed tomography (CT) of the abdomen with contrast enhancement revealed an intimal flap over his descending aorta, the infrarenal part. The flap was found throughout the descending aorta until its bifurcation. Stanford type B dissection was initially suspected. However, a reconstructed CT discovered an interesting feature of the aorta. A high aortic bifurcation at the level of the second lumbar vertebrae, in conjunction with bilateral common iliac arteries, appeared in pair, masquerading the CT image as infrarenal aortic dissection. Actually, that was a variant in human anatomy. A reconstructed sagittal view of the CT scan is mandatory for a patient with abdomen pain to avoid misinterpretation of the radiographic image. |
| doi_str_mv | 10.1016/j.ajem.2011.03.023 |
| format | Article |
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Initial vitals at the triage station were significant only for high blood pressure. Computed tomography (CT) of the abdomen with contrast enhancement revealed an intimal flap over his descending aorta, the infrarenal part. The flap was found throughout the descending aorta until its bifurcation. Stanford type B dissection was initially suspected. However, a reconstructed CT discovered an interesting feature of the aorta. A high aortic bifurcation at the level of the second lumbar vertebrae, in conjunction with bilateral common iliac arteries, appeared in pair, masquerading the CT image as infrarenal aortic dissection. Actually, that was a variant in human anatomy. A reconstructed sagittal view of the CT scan is mandatory for a patient with abdomen pain to avoid misinterpretation of the radiographic image.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2011.03.023</identifier><identifier>PMID: 21641746</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abdomen ; Abdominal Pain - etiology ; Aged ; Aneurysm, Dissecting - diagnosis ; Aneurysm, Dissecting - diagnostic imaging ; Aorta, Thoracic - abnormalities ; Aorta, Thoracic - diagnostic imaging ; Aortic Aneurysm, Abdominal - diagnosis ; Aortic Aneurysm, Abdominal - diagnostic imaging ; Blood pressure ; Coronary vessels ; Diagnosis, Differential ; Dissection ; Emergency ; Emergency medical care ; Emergency Service, Hospital ; Humans ; Hypertension ; Male ; Medical imaging ; Pain ; Tomography, X-Ray Computed ; Ultrasonography ; Veins & arteries</subject><ispartof>The American journal of emergency medicine, 2012-07, Vol.30 (6), p.1011.e5-1011.e6</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c460t-a00bd7f404ca6f3be3edef21ca6e131c927f71b9d3f98f71bc242ae6f3a8a913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1036654654?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974,64362,64364,64366,72216</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21641746$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tan, Ken-Hing, MD</creatorcontrib><creatorcontrib>Ko, Shih-Yu, MD</creatorcontrib><creatorcontrib>Chou, Sun-Li, MD</creatorcontrib><title>Pseudoaortic dissection</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>A 72-year-old man was brought to our emergency department (ED) because of upper abdominal pain. Initial vitals at the triage station were significant only for high blood pressure. Computed tomography (CT) of the abdomen with contrast enhancement revealed an intimal flap over his descending aorta, the infrarenal part. The flap was found throughout the descending aorta until its bifurcation. Stanford type B dissection was initially suspected. However, a reconstructed CT discovered an interesting feature of the aorta. A high aortic bifurcation at the level of the second lumbar vertebrae, in conjunction with bilateral common iliac arteries, appeared in pair, masquerading the CT image as infrarenal aortic dissection. Actually, that was a variant in human anatomy. A reconstructed sagittal view of the CT scan is mandatory for a patient with abdomen pain to avoid misinterpretation of the radiographic image.</description><subject>Abdomen</subject><subject>Abdominal Pain - etiology</subject><subject>Aged</subject><subject>Aneurysm, Dissecting - diagnosis</subject><subject>Aneurysm, Dissecting - diagnostic imaging</subject><subject>Aorta, Thoracic - abnormalities</subject><subject>Aorta, Thoracic - diagnostic imaging</subject><subject>Aortic Aneurysm, Abdominal - diagnosis</subject><subject>Aortic Aneurysm, Abdominal - diagnostic imaging</subject><subject>Blood pressure</subject><subject>Coronary vessels</subject><subject>Diagnosis, Differential</subject><subject>Dissection</subject><subject>Emergency</subject><subject>Emergency medical care</subject><subject>Emergency Service, Hospital</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Pain</subject><subject>Tomography, X-Ray Computed</subject><subject>Ultrasonography</subject><subject>Veins & arteries</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kd1LwzAUxYMobk6fBR9E8MWX1twkTVYQQYZfMFBw7yFLbyG1a2fSCvvvTdlU8EEIJIHfOck9h5AzoClQkNdVaipcpYwCpJSnlPE9MoaMs2QKCvbJmCqeJVJlakSOQqhoBEUmDsmIgRSghByT09eAfdGa1nfOXhQuBLSda5tjclCaOuDJbp-QxcP9YvaUzF8en2d388QKSbvEULosVCmosEaWfIkcCywZxBsCB5szVSpY5gUv8-lwskwwgxE1U5MDn5Crre3atx89hk6vXLBY16bBtg8a4lAsV1MmInr5B63a3jfxc5HiUmYirkixLWV9G4LHUq-9Wxm_iZAeUtOVHlLTQ2qach0fiKLznXW_XGHxI_mOKQI3WwBjFJ8OvQ7WYWOxcD7mpYvW_e9_-0dua9c4a-p33GD4nUMHpql-G3obagOIlTEp-BfA_ZCB</recordid><startdate>20120701</startdate><enddate>20120701</enddate><creator>Tan, Ken-Hing, MD</creator><creator>Ko, Shih-Yu, MD</creator><creator>Chou, Sun-Li, MD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20120701</creationdate><title>Pseudoaortic dissection</title><author>Tan, Ken-Hing, MD ; 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Initial vitals at the triage station were significant only for high blood pressure. Computed tomography (CT) of the abdomen with contrast enhancement revealed an intimal flap over his descending aorta, the infrarenal part. The flap was found throughout the descending aorta until its bifurcation. Stanford type B dissection was initially suspected. However, a reconstructed CT discovered an interesting feature of the aorta. A high aortic bifurcation at the level of the second lumbar vertebrae, in conjunction with bilateral common iliac arteries, appeared in pair, masquerading the CT image as infrarenal aortic dissection. Actually, that was a variant in human anatomy. A reconstructed sagittal view of the CT scan is mandatory for a patient with abdomen pain to avoid misinterpretation of the radiographic image.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>21641746</pmid><doi>10.1016/j.ajem.2011.03.023</doi></addata></record> |
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| subjects | Abdomen Abdominal Pain - etiology Aged Aneurysm, Dissecting - diagnosis Aneurysm, Dissecting - diagnostic imaging Aorta, Thoracic - abnormalities Aorta, Thoracic - diagnostic imaging Aortic Aneurysm, Abdominal - diagnosis Aortic Aneurysm, Abdominal - diagnostic imaging Blood pressure Coronary vessels Diagnosis, Differential Dissection Emergency Emergency medical care Emergency Service, Hospital Humans Hypertension Male Medical imaging Pain Tomography, X-Ray Computed Ultrasonography Veins & arteries |
| title | Pseudoaortic dissection |
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