Key result
Atypical acute aortic dissection can present with subtle, unspecific renal colicky pain, making prompt diagnosis challenging.
Case Report (n=1)
Highlights the importance of considering acute aortic dissection in patients presenting with atypical symptoms such as renal colic to avoid missed or delayed diagnosis.
Acute aortic dissection is an uncommon but life-threatening emergency, which is often missed in up to 38% of patients on initial evaluation, and in up to 28% of patients the diagnosis is made at autopsy. Painless aortic dissection has been reported, but is relatively uncommon. The mortality rates are estimated at 50% by 48 hours and increase by 1% per hour if undiagnosed. We report a case of atypical aortic dissection who presented to ER with subtle unspecific renal colicky like pain as a primary symptom, which had made the prompt diagnosis very challenging and difficult.
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Tai et al. (2016) conducted a case report in Acute aortic dissection (n=1). Atypical presentation (renal colicky pain) was evaluated. Atypical acute aortic dissection can present with subtle, unspecific renal colicky pain, making prompt diagnosis challenging.
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