Key result
A 44-year-old woman with type B aortic dissection initially mimicking acute pyelonephritis died from septic shock and multiorgan failure despite emergency surgical interventions.
Why the study?
Aortic dissection can present with uncommon early symptoms mimicking other illnesses such as acute pyelonephritis, which may delay diagnosis and treatment.
Case Report (n=1)
Type B aortic dissection can rarely present with symptoms mimicking acute pyelonephritis, highlighting the need for accurate early diagnosis to prevent fatal visceral ischemia.
Answers are grounded in this paper and cite their sources.
Aortic dissection warrants inclusion in pyelonephritis differentials; extends mimic spectrum but leaves open systematic study.
Aortic dissection is a life-threatening illness requiring early diagnosis and treatment. Uncommon early presentations mimicking various illnesses can delay diagnosis. This case study describes a 44-year-old woman with type B aortic dissection initially presenting as acute pyelonephritis (APN). Early clinical manifestations were sudden onset of left flank pain, fever, hematuria and pyuria, and following admission, severe abdominal pain, nausea, vomiting, reduced urine output and renal function deterioration. Abdominal computed tomography showed type B aortic dissection complicated with a small bowel infarct, ischemic ascending colon and left renal infarct. Emergency surgical interventions of small bowel resection, ileoduodenostomy and cholecystectomy were performed; a second laparotomy was subsequently performed for anastomosis leakage. The patient died due to septic shock with multiorgan failure. Aortic dissection initially mimicking APN is rare. Accurate early diagnosis of aortic dissection with indeterminate presentation is crucial. Early surgical intervention for visceral organ ischemia is important to preventing morbidity and mortality.
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Jenq et al. (2006) conducted a case report in Type B aortic dissection (n=1). Emergency surgical interventions was evaluated on Clinical outcome. A 44-year-old woman with type B aortic dissection initially mimicking acute pyelonephritis died from septic shock and multiorgan failure despite emergency surgical interventions.
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