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CASE REPORT Open access
Italian Journal of Emergency Medicine 2020 December;9(3):145-8
DOI: 10.23736/S2532-1285.20.00042-7
Copyright © 2020 THE AUTHORS
This is an open access article distributed under the terms of the CC BY-NC-ND 4.0 license which allows users to copy and distribute the manuscript, as long as this is not done for commercial purposes and further does not permit distribution of the manuscript if it is changed or edited in any way, and as long as the user gives appropriate credits to the original author(s) and the source (with a link to the formal publication through the relevant DOI) and provides a link to the license.
lingua: Inglese
A patient with acute aortic dissection presenting to the Emergency Department with severe pain and no findings on physical examination: a potentially misleading picture
Gavino COSSU 1 ✉, Daniela TREBBI 2, Laura VOCCIA 3
1 Emergency Department, Tarquinia Hospital, ASL Viterbo, Tarquinia, Viterbo, Italy; 2 Emergency Department, Tarquinia Hospital, ASL Viterbo, Tarquinia, Viterbo, Italy; 3 Department of Radiology, Tarquinia Hospital, ASL Viterbo, Tarquinia, Viterbo, Italy
Acute dissection of the aorta is a potentially catastrophic emergency that mandates prompt recognition and expeditious treatment. Diagnosis can be extremely difficult when clinical presentation is atypical, especially if symptoms and signs are subtle or mimic other disorders. In this study we reported a case of acute aortic dissection in a patient presenting to our Emergency Department with severe low back pain and no findings on physical examination.
KEY WORDS: Physical examination; Aneurysm, dissecting; Tomography, X-ray computed