Traumatic Abdominal Aortic Dissection, a Rare Near-Missed Diagnosis: A Case Report and Literature Review

Acute traumatic dissection of the abdominal aorta due to blunt trauma is a rare and life-threatening condition, often resulting in death. Immediate diagnosis is critical for successful treatment and improved prognosis. In this case presentation, a 60-year-old man was found unconscious after a road accident and was diagnosed with aortic dissection that went unnoticed initially due to associated severe injuries. CT-scan and ultrasound examination confirmed the diagnosis of abdominal aortic dissection. This case highlights the importance of a high index of suspicion when certain signs are present, such as seat-belt sign, bowel injury, or spinal injury. CT-scan is an accurate diagnostic tool, and close imaging follow-up is necessary as delayed complications can occur. Nonoperative and endovascular management is often chosen.