Dysphagia aortica: a fatal delay in diagnosis
Extrinsic esophageal compression leading to dysphagia is an uncommon and late presentation of large thoracic aortic aneurysm named dysphagia aortica. Herein, we report an 86-year-old man who presented with 1-week duration of chest pain, backache, and dysphagia and was eventually diagnosed as dysphag...
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Veröffentlicht in: | The American journal of emergency medicine 2015-08, Vol.33 (8), p.1117.e3-1117.e5 |
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container_title | The American journal of emergency medicine |
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creator | Liao, Chen-Yi, MD Huang, Shih-Chung, MD Wang, Yi-Chen, MD Chin, Hsien-Kuo, MD Tsai, Chi-chang, MD Ben, Ren-Jy, MD Wu, Hau-Ming, MD |
description | Extrinsic esophageal compression leading to dysphagia is an uncommon and late presentation of large thoracic aortic aneurysm named dysphagia aortica. Herein, we report an 86-year-old man who presented with 1-week duration of chest pain, backache, and dysphagia and was eventually diagnosed as dysphagia aortica. Our patient developed progressive dyspnea due to tracheal compression and failed surgery. The case illustrates the importance of early identification of the rare entity of dysphagia especially in elderly cases with cardiovascular disease with complaint of undetermined dysphagia accompanied with chest pain and backache. |
doi_str_mv | 10.1016/j.ajem.2015.01.057 |
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Herein, we report an 86-year-old man who presented with 1-week duration of chest pain, backache, and dysphagia and was eventually diagnosed as dysphagia aortica. Our patient developed progressive dyspnea due to tracheal compression and failed surgery. The case illustrates the importance of early identification of the rare entity of dysphagia especially in elderly cases with cardiovascular disease with complaint of undetermined dysphagia accompanied with chest pain and backache.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2015.01.057</identifier><identifier>PMID: 25701214</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged, 80 and over ; Aneurysms ; Aortic Aneurysm, Thoracic - complications ; Aortic Aneurysm, Thoracic - diagnosis ; Back pain ; Barium ; Blood ; Cardiovascular disease ; Coronary vessels ; Deaths ; Deglutition Disorders - etiology ; Delayed Diagnosis ; Dysphagia ; Emergency ; Emergency medical care ; Endoscopy ; Family medical history ; Fatal Outcome ; Food ; Heart surgery ; Humans ; Male ; Medical imaging ; Ostomy ; Urea</subject><ispartof>The American journal of emergency medicine, 2015-08, Vol.33 (8), p.1117.e3-1117.e5</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright Elsevier Limited 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c579t-fb03b90b6ca2285eb4d3de0c1d57ce38fad8f87f408534122fa17b07d03b85783</citedby><cites>FETCH-LOGICAL-c579t-fb03b90b6ca2285eb4d3de0c1d57ce38fad8f87f408534122fa17b07d03b85783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0735675715000595$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25701214$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liao, Chen-Yi, MD</creatorcontrib><creatorcontrib>Huang, Shih-Chung, MD</creatorcontrib><creatorcontrib>Wang, Yi-Chen, MD</creatorcontrib><creatorcontrib>Chin, Hsien-Kuo, MD</creatorcontrib><creatorcontrib>Tsai, Chi-chang, MD</creatorcontrib><creatorcontrib>Ben, Ren-Jy, MD</creatorcontrib><creatorcontrib>Wu, Hau-Ming, MD</creatorcontrib><title>Dysphagia aortica: a fatal delay in diagnosis</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>Extrinsic esophageal compression leading to dysphagia is an uncommon and late presentation of large thoracic aortic aneurysm named dysphagia aortica. 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Herein, we report an 86-year-old man who presented with 1-week duration of chest pain, backache, and dysphagia and was eventually diagnosed as dysphagia aortica. Our patient developed progressive dyspnea due to tracheal compression and failed surgery. The case illustrates the importance of early identification of the rare entity of dysphagia especially in elderly cases with cardiovascular disease with complaint of undetermined dysphagia accompanied with chest pain and backache.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25701214</pmid><doi>10.1016/j.ajem.2015.01.057</doi></addata></record> |
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subjects | Aged, 80 and over Aneurysms Aortic Aneurysm, Thoracic - complications Aortic Aneurysm, Thoracic - diagnosis Back pain Barium Blood Cardiovascular disease Coronary vessels Deaths Deglutition Disorders - etiology Delayed Diagnosis Dysphagia Emergency Emergency medical care Endoscopy Family medical history Fatal Outcome Food Heart surgery Humans Male Medical imaging Ostomy Urea |
title | Dysphagia aortica: a fatal delay in diagnosis |
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