Rosenfeld-Barnhard Gavriel, Jackson Jessica R, Mendez Kendra A, Schreyer Kraftin E
Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania.
Clin Pract Cases Emerg Med. 2024 Nov;8(4):361-364. doi: 10.5811/cpcem.20348.
Aortic dissection is a devastating clinical entity with a variety of presentations and requires prompt recognition and management. To our knowledge this is the first reported case of a patient who presented with a globus sensation and was diagnosed with an aortic dissection prior to clinical deterioration.
The patient presented with an episode of near-syncope and globus sensation. Imaging studies revealed a type A aortic dissection with hemopericardium requiring emergent operative intervention. Unfortunately, the patient's course was complicated by significant hemorrhage and periods of hypotension, and the family ultimately decided to pursue comfort care.
Aortic dissections can present with diverse and elusive symptoms, which can mimic other more common conditions, potentially leading to misdiagnosis and delayed intervention.
主动脉夹层是一种具有多种临床表现的严重临床病症，需要迅速识别和处理。据我们所知，这是首例报告的以咽部异物感为表现且在临床病情恶化前被诊断为主动脉夹层的患者。
该患者出现了一次接近晕厥和咽部异物感的发作。影像学检查显示为A型主动脉夹层并伴有心包积血，需要紧急手术干预。不幸的是，患者的病程因大量出血和低血压期而变得复杂，家属最终决定采取姑息治疗。
主动脉夹层可表现出多样且难以捉摸的症状，这些症状可能与其他更常见的病症相似，有可能导致误诊和干预延迟。
