Key result
A 30-year-old male with De Bakey Type 1 acute aortic dissection presenting with atypical gastrointestinal symptoms was successfully diagnosed and surgically managed.
Case Report (n=1)
No
Clinical suspicion is crucial for the early diagnosis and successful management of acute aortic dissection in patients presenting with atypical gastrointestinal symptoms.
Atypical GI symptoms merit aortic dissection consideration in young adults; extends phenotypic spectrum but remains hypothesis-generating from a single case.
Type 1 aortic dissection is a catastrophic clinical entity originating from the ascending aorta. Clinical suspicion in patients with epigastric pain, chest pain and gastrointestinal symptoms might be life saving. Aortic dissection and acute mesenteric ischemia might be confusing in diagnosis of patients with epigastric pain, chest pain, gastrointestinal symptoms and high white blood cell count and D-dimer. In this case report of a patient who was admitted to the emergency room with a presentation resembling acute mesenteric ischemia, this diagnosis was excluded within the first 24 hours as a result of clinical suspicion. In this case report, the successful management in diagnosis and treatment of a 30-year-old male patient with type 1 aortic dissection is discussed in light of the literature.
No takes yet. Share an insight, caveat, or question.
Salman et al. (2013) conducted a case report in De Bakey Type 1 acute aortic dissection (n=1). Surgical repair (aortic arch and root replacement with dacron graft) was evaluated on Survival and successful discharge. A 30-year-old male with De Bakey Type 1 acute aortic dissection presenting with atypical gastrointestinal symptoms was successfully diagnosed and surgically managed.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: