Stanford - A aortic dissection presenting as a triple mimic and role of point of care ultrasound in deciphering it

Aortic dissection (AD) is a great imitator, and its diagnosis is quite challenging due to its varied presentations and unreliable clinical findings. Based on the literature search we found, this is the first case report of Stanford-A/DeBakey Type 1 AD reported as a triple mimic, namely stroke, acute...

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Bibliographic Details
Published in:Journal of emergencies, trauma and shock trauma and shock, 2021-07, Vol.14 (3), p.187-189
Main Authors: Mahalingam, Sasikumar, Rajendran, Gunaseelan, Balaraman, Nithya, Kumar, Kiran, Rajendran, Ajithkumar, Nathan, Balamurugan, Ayyan, Manu, Balassoundaram, Vishwanath, Gara, Mounika, Kumar, Praveen
Format: Article
Language:English
Subjects:
acute limb ischemia
Advertising executives
Aortic dissection
Case Report
cerebrovascular accident
Diagnosis
Dissecting aneurysm
Emergency medical care
Ischemia
Medical research
Medicine, Experimental
Pericarditis
Point of care testing
point of care ultrasound
Stroke (Disease)
Surgery
Ultrasonic imaging
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Summary:Aortic dissection (AD) is a great imitator, and its diagnosis is quite challenging due to its varied presentations and unreliable clinical findings. Based on the literature search we found, this is the first case report of Stanford-A/DeBakey Type 1 AD reported as a triple mimic, namely stroke, acute limb ischemia, and pericarditis. Here, we describe the case of a 46-year-old male who presented to our emergency department with features suggestive of acute pericarditis, cerebrovascular accident, acute limb ischemia, which could have been attributed to athero-thrombo-embolic disease and AD could have been possibly missed. However, point-of-care ultrasound helped us in the diagnosis of this highly lethal condition.
ISSN:0974-2700
0974-519X
DOI:10.4103/JETS.JETS_134_20