Bedanie Genanew, Abaleka Fuad I, Tikue Alay, Thongtan Thanita, Ansari Mohammad M
Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, USA.
Internal Medicine, Richmond University Medical Center, Staten Island, USA.
Cureus. 2021 Apr 7;13(4):e14355. doi: 10.7759/cureus.14355.
Aortic dissections (ADs) are uncommon but they are highly lethal. Due to atypical signs and symptoms, diagnosis of type B AD can be easily missed or delayed. Our patient presented to the emergency center with dizziness and fall for which he was evaluated and treated for hypertension. Two weeks later, he again presented to the hospital with painless right groin swelling: computed tomography (CT) of the abdomen incidentally showed type B AD. The patient might have an AD presenting with dizziness and hypertension during previous presentation. From this case, we learn how it is challenging to diagnose painless AD especially when patient comes with atypical symptoms. In high-risk patients with unexplained dizziness and fall, a high degree of suspicion may help for early diagnosis and management.
主动脉夹层（ADs）并不常见，但致死率很高。由于症状不典型，B型AD很容易被漏诊或延误诊断。我们的患者因头晕和跌倒被送往急诊中心，在那里他接受了高血压评估和治疗。两周后，他再次因右侧腹股沟无痛性肿胀入院：腹部计算机断层扫描（CT）偶然发现了B型AD。该患者在之前就诊时可能就有以头晕和高血压为表现的AD。从这个病例中，我们了解到诊断无痛性AD具有挑战性，尤其是当患者出现非典型症状时。对于有不明原因头晕和跌倒的高危患者，高度怀疑可能有助于早期诊断和治疗。
