Unusual presentation of aortic dissection : post-coital acute paraplegia with renal failure
Joint Authors
Galabada, Dinith P.
Nizar, Abd Allah L. M.
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 25, Issue 5 (31 Oct. 2014), pp.1059-1061, 3 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2014-10-31
Country of Publication
Saudi Arabia
No. of Pages
3
Main Subjects
Topics
- Sex
- Case studies
- Kidneys
- Diseases
- Complications(Medicine)
- Kidney failure
- Diagnosis
- Paraplegia
- Aortic dissection
- Sexual intercourse
Abstract EN
We report the case of a 45-year-old chronic smoker who presented with acute paraplegia occurring during coitus and subsequently developed acute renal failure (ARF) requiring dialysis.
He had absent peripheral pulses in the lower limbs with evidence of acute ischemia.
Doppler study showed dissecting aneurysm of thoracic aorta, thrombotic occlusion of the distal aorta from L1 level up to bifurcation and occlusion of the right renal artery by a thrombus that was confirmed by magnetic resonance imaging of the spine.
He was not subjected to any vascular intervention as his lower limbs were not salvageable due to delay in the diagnosis.
Post-coital aortic dissection and aortic dissection presenting with acute paraplegia and ARF are very rare.
This is probably the first case report with post-coital acute aortic dissection presenting with paraplegia and ARF.
This case emphasizes the importance of a careful examination of peripheral pulses in patients presenting with ARF and paraplegia.
American Psychological Association (APA)
Galabada, Dinith P.& Nizar, Abd Allah L. M.. 2014. Unusual presentation of aortic dissection : post-coital acute paraplegia with renal failure. Saudi Journal of Kidney Diseases and Transplantation،Vol. 25, no. 5, pp.1059-1061.
https://search.emarefa.net/detail/BIM-400381
Modern Language Association (MLA)
Galabada, Dinith P.& Nizar, Abd Allah L. M.. Unusual presentation of aortic dissection : post-coital acute paraplegia with renal failure. Saudi Journal of Kidney Diseases and Transplantation Vol. 25, no. 5 (2014), pp.1059-1061.
https://search.emarefa.net/detail/BIM-400381
American Medical Association (AMA)
Galabada, Dinith P.& Nizar, Abd Allah L. M.. Unusual presentation of aortic dissection : post-coital acute paraplegia with renal failure. Saudi Journal of Kidney Diseases and Transplantation. 2014. Vol. 25, no. 5, pp.1059-1061.
https://search.emarefa.net/detail/BIM-400381
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 1061
Record ID
BIM-400381