Wehking Felix, Lewejohann Jan-Christoph, Buerckenmeyer Florian
Department of Emergency Medicine Jena University Hospital Jena Germany.
Department of Radiology Jena University Hospital Jena Germany.
Clin Case Rep. 2025 Sep 2;13(9):e70684. doi: 10.1002/ccr3.70684. eCollection 2025 Sep.
Algorithms and tools are frequently utilized in emergency medicine workflows. Focusing on selective information, they are at risk of missing patients with atypical presentations of sometimes life-threatening conditions. This case report highlights a female patient in her late 70s who was transferred to the emergency department due to vomiting and diarrhea after eating raw fish for lunch. While she was initially stable and symptom-free, her dynamic course in the emergency department ultimately led to the diagnosis of an acute aortic dissection. After performing an emergency aortic arch replacement, the patient's postoperative stay and one-year follow-up were unremarkable. Concluding, this case report elaborates on the implications of respecting atypical presentations in vulnerable patients.
算法和工具在急诊医学工作流程中经常被使用。由于专注于选择性信息，它们有遗漏有时患有危及生命疾病的非典型表现患者的风险。本病例报告重点介绍了一名70多岁的女性患者，她因午餐食用生鱼后出现呕吐和腹泻被转诊至急诊科。虽然她最初情况稳定且无症状，但她在急诊科的动态病程最终导致了急性主动脉夹层的诊断。在进行紧急主动脉弓置换术后，患者的术后住院情况和一年随访结果均无异常。总之，本病例报告阐述了重视脆弱患者非典型表现的意义。
