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Published on: September 28, 2019

Pseudoaortic dissection.

Ken-Hing Tan¹, Shih-Yu Ko, Sun-Li Chou

¹Department of Emergency Medicine, Taipei Medical University - Shuang Ho Hospital, Zhong He City, Taipei County 235, Taiwan ROC. leucocyte99@gmail.com

The American Journal of Emergency Medicine

|June 7, 2011

Summary

This summary is machine-generated.

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Aortic dissection was initially suspected in a patient with abdominal pain, but a rare anatomical variation caused a misinterpretation. Reconstructed CT scans are crucial for accurate diagnosis of aortic conditions.

Area of Science:

Radiology
Vascular Surgery
Anatomy

Background:

A 72-year-old male presented with upper abdominal pain and hypertension.
Initial computed tomography (CT) revealed an intimal flap in the descending aorta, suggesting Stanford type B dissection.

Observation:

A high aortic bifurcation at the second lumbar vertebra was identified.
Bilateral common iliac arteries appeared as a paired structure.

Findings:

The anatomical variation mimicked infrarenal aortic dissection on initial CT imaging.
The intimal flap was a normal anatomical variant, not a pathological dissection.

Implications:

Reconstructed sagittal views of CT scans are essential for accurate interpretation of aortic pathology.

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This case highlights the importance of comprehensive imaging review to avoid diagnostic errors.