Key result
A 64-year-old woman with untreated hypertension presented with progressive dysphagia and abrupt onset of sharp interscapular pain radiating to the lower back.
Case Report (n=1)
A historical case report describing a classic presentation of acute interscapular pain, likely representing an aortic dissection.
Classic aortic dissection presentation in untreated hypertension warrants urgent suspicion; case report leaves open dysphagia's diagnostic value in modern cohorts.
Presentation of CaseA sixty-four-year-old woman was admitted to the hospital because of interscapular pain.For several years she had had hypertension; she had taken no medication. A month before entry there was the onset of progressive dysphagia. A week before admission she experienced a dull, vague ache in the upper portion of the back. On the day before entry sharp interscapular pain developed abruptly, within a few minutes moved down to the lower portion of the back and subsided shortly thereafter. On the next day x-ray films of the chest taken at another hospital (Fig. 1) showed enlargement of . . .
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Wheeler et al. (1969) conducted a case report in Interscapular pain and dysphagia (n=1). A 64-year-old woman with untreated hypertension presented with progressive dysphagia and abrupt onset of sharp interscapular pain radiating to the lower back.
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