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Submitted: 21 Aug 2021
Accepted: 18 Sep 2021
ePublished: 30 Sep 2021
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Dis Diagn. 2021;10(3): 129-131.
doi: 10.34172/ddj.2021.24
  Abstract View: 110
  PDF Download: 59

Case Report

Atypical Presentation of Aortic Dissection: A Case Report

Soraya Shamizadeh 1 ORCID logo, Golamreza Faridaalaee 1,2* ORCID logo

1 Emergency Medicine Research Team, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
2 Department of Emergency Medicine, Maragheh University of Medical Sciences, Maragheh, Iran.
*Correspondence to Gholamreza Faridaalaee, Emergency Medicine Research Team, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran and Department of Emergency Medicine, Imam Reza Hospital, Daneshgah Street, Tabriz, Iran. Tel: +989146677876; Email address: grf.aalae@ yahoo.com, faridaalaee@ tbzmed.ac.ir

Abstract

Background: Aortic dissection (AD) is considered to be one of the life-threatening diseases. Quick diagnosis has great significance so that a one-hour delay in treatment leads to a 1-2% increase in mortality.

Case Report: The 55-year old obese woman with epigastric pain and right upper quadrant pain referred to the emergency department of our hospital. The acute coronary syndrome was our initial diagnosis but an image similar to a Perl in one cut and a crescent in another cut of computed tomography (CT) drew our attention in the mediastinal view of CT without intravenous contrast that was performed to rule out coronavirus disease-19 (COVID-19). Finally, CT-angiography was requested and AD diagnosis was approved accordingly.

Conclusion: The presence of calcification on a non-contrast chest CT in the middle of the aorta or away from the artery wall can be a sign of AD. Thus, special attention should be paid to the atypical symptoms of AD.


Keywords: Aorta, Dissection, Acute coronary syndrome, Myocardial infarction, Tomography

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