The Journal of emergency medicine · 2009
Aortic dissection presenting as isolated lower leg ischemia.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Marcantonio Domenica, Suri Pawan, Coleman Keel, Taruna Aurora
Аннотация
BACKGROUND: Aortic dissections that present only with symptoms of lower extremity ischemia are rare. Few case reports exist documenting this phenomenon.
OBJECTIVES: We report an unusual case of aortic dissection presenting as unilateral lower extremity pain.
CASE REPORT: A 56-year-old man presented with left lower extremity pain of 1 h duration. He had no associated complaints. Doppler imaging revealed decreased flow in the left iliac artery, thus, initial treatment with anticoagulation was begun for presumptive obstruction. Subsequent imaging with arteriography revealed a Stanford type A/DeBakey type 1 aortic dissection. This was confirmed by computer-assisted tomography angiography, and the patient was taken to surgery for repair.
CONCLUSION: It is important to consider the connection between lower extremity symptoms and possible aortic dissection.
OBJECTIVES: We report an unusual case of aortic dissection presenting as unilateral lower extremity pain.
CASE REPORT: A 56-year-old man presented with left lower extremity pain of 1 h duration. He had no associated complaints. Doppler imaging revealed decreased flow in the left iliac artery, thus, initial treatment with anticoagulation was begun for presumptive obstruction. Subsequent imaging with arteriography revealed a Stanford type A/DeBakey type 1 aortic dissection. This was confirmed by computer-assisted tomography angiography, and the patient was taken to surgery for repair.
CONCLUSION: It is important to consider the connection between lower extremity symptoms and possible aortic dissection.