Post coital aortic dissection: a case report

Journal of Medical Case Reports
Gareth Morris-StiffMichael H Lewis

Abstract

Sudden onset peri- or post-coital cardiovascular disease is well documented in the literature including myocardial infarction, pulmonary embolus and subarachnoid haemorrhage. The occurrence of aortic dissection in this setting has been reported only once previously. We report the case of a 47 year old man who developed sudden onset right leg pain during coitus. This was initially believed to be neurological due to nerve impingement but an MRI failed to identify a prolapse. On further review after 6 weeks, pulses were noted to be absent in the patient's right leg and an urgent vascular review with investigation identified a dissection of the aorta which was subsequently successfully treated. This case illustrates a rare presentation of aortic dissection and demonstrates the importance of a thorough vascular assessment in the presence of sudden onset limb pain.

References

Oct 22, 1987·The New England Journal of Medicine·R W DeSanctisM J Buckley
Dec 1, 1971·Circulation Research·C L PelletierJ T Shepherd
May 1, 2002·JAMA : the Journal of the American Medical Association·Michael Klompas

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Citations

Oct 27, 2012·Emergency Medicine Journal : EMJ·Carmen Andrea PfortmuellerAristomenis Konstantinos Exadaktylos
Jun 15, 2010·Journal of Neurosurgery·Matthew R ReynoldsRalph G Dacey
Jan 25, 2012·The Annals of Thoracic Surgery·Charlotte M LameijerClark J Zeebregts
Nov 22, 2015·Acta neurochirurgica·Paul M ForemanAjith J Thomas
Oct 25, 2016·Annals of Emergency Medicine·Andrew GrockMel Herbert

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Methods Mentioned

BETA
dissection
dissections

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