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Atypical Presentation of Traumatic Aortic Injury
Joint Authors
Ho, Andrew Fu Wah
Chua, Tallie Wei-Lin
Seth, Puneet
Tan, Kenneth Boon Kiat
Pothiawala, Sohil
Source
Case Reports in Emergency Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-12-30
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Blunt thoracic aorta injury (BAI) is second only to head injury as cause of mortality in blunt trauma.
While most patients do not survive till arrival at the hospital, for the remainder, prompt diagnosis and treatment greatly improve outcomes.
We report an atypical presentation of BAI, highlighting the diagnostic challenges of this condition in the emergency department.
Case Presentation.
A previously well 25-year-old male presented 15 hours after injury hemodynamically stable with delirium.
There were no signs or symptoms suggestive of BAI.
Sonography showed small bilateral pleural effusions.
Chest radiograph showed a normal mediastinum.
Eventually, CT demonstrated a contained distal aortic arch disruption.
The patient underwent percutaneous endovascular thoracic aortic repair and recovered well.
Conclusion.
This catastrophic lesion may present with few reliable signs and symptoms; hence, a high index of suspicion is crucial for early diagnosis and definitive surgical management.
This paper discusses the diagnostic utility of clinical features, injury mechanism, and radiographic modalities.
Consideration of mechanism of injury, clinical features, and chest radiograph findings should prompt advanced chest imaging.
American Psychological Association (APA)
Ho, Andrew Fu Wah& Chua, Tallie Wei-Lin& Seth, Puneet& Tan, Kenneth Boon Kiat& Pothiawala, Sohil. 2014. Atypical Presentation of Traumatic Aortic Injury. Case Reports in Emergency Medicine،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1017035
Modern Language Association (MLA)
Ho, Andrew Fu Wah…[et al.]. Atypical Presentation of Traumatic Aortic Injury. Case Reports in Emergency Medicine No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-1017035
American Medical Association (AMA)
Ho, Andrew Fu Wah& Chua, Tallie Wei-Lin& Seth, Puneet& Tan, Kenneth Boon Kiat& Pothiawala, Sohil. Atypical Presentation of Traumatic Aortic Injury. Case Reports in Emergency Medicine. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1017035
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1017035