Deadly Diarrhea: The Clever Disguise of Aortic Dissection

Swazo, Roberto; Ainapurapu, Bujji

doi:10.1016/j.amjmed.2016.09.038

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2019

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“…Less than 5% of patients with AD present with GI manifestations such as nausea, vomiting, and bloody diarrhea [8]. In one case report, a patient presented with severe diarrhea and was finally diagnosed with AD [9]. It is therefore important to have a high clinical suspicion of AD in patients with risk factors and atypical symptoms.…”

Section: Discussionmentioning

confidence: 99%

A Case of Aortic Dissection Presenting with Atypical Symptoms and Diagnosed with Transthoracic Echocardiography

Solhjoo

Swarup

Makaryus

2019

Case Reports in Radiology

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We present a case of an extensive aortic dissection (AD) identified in a woman with atypical symptoms. Transthoracic echocardiography (TTE) allowed the identification of an intimal flap in multiple locations and resulted in rapid diagnosis and treatment. In most cases, CT angiography is the imaging modality of choice for diagnosis of AD. TTE is rapid and accurate and can be used in kidney failure. Our case highlights the important role of bedside echocardiography in the diagnosis of AD, especially in the patient with a typical symptoms in whom this diagnosis of AD may not be entertained and actually missed leading to negative and possibly deadly consequences.

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Section: Discussionmentioning

confidence: 99%