Ullah Waqas, Khanal Shristi, Sattar Zeeshan, Roomi Sohaib, Ahmad Asrar, Sarwar Usman, Ghani Ali Raza
Internal Medicine, Abington-Jefferson Health, Abington, USA.
Internal Medicine, SUNY Downstate Medical Center, Brooklyn, USA.
J Community Hosp Intern Med Perspect. 2019 Jun 19;9(3):282-284. doi: 10.1080/20009666.2019.1622379. eCollection 2019.
Aortic dissection (AD) is a serious condition in which the intimal layer of aorta tears and blood surges in between the intimal and medial layers of aorta causing it to separate (dissect). It usually presents with excruciating pain radiating to the back. Here we present a unique presentation of AD where an old-aged Caucasian male presented with a chronic history of intractable hiccups. His computed tomography (CAT scan) revealed the dissection of the descending thoracic aorta. He was managed conservatively and was discharged home in stable condition. The purpose of this report is to highlight this unusual presentation of AD and unmask the possible etiology of hiccups in such cases.
主动脉夹层（AD）是一种严重的病症，其中主动脉内膜层撕裂，血液涌入主动脉内膜和中膜层之间，导致其分离（夹层形成）。它通常表现为放射至背部的剧痛。在此，我们呈现一例独特的主动脉夹层病例，一名老年白人男性有顽固性呃逆的慢性病史。他的计算机断层扫描（CAT扫描）显示降主动脉夹层。他接受了保守治疗，出院时病情稳定。本报告的目的是强调主动脉夹层这种不寻常的表现，并揭示此类病例中呃逆可能的病因。
