A Misdiagnosed Case Report and Literature Review:Aortic Dissection Involving the Celiac Trunk
ZHU Peng
YOU Hao
YANG Qian
LIU Fei
Abstract：Objective To study the diagnosis and treatment measures, misdiagnosis cause and preventive measures of aortic dissection. Methods Clinical data of one patient misdiagnosed with aortic dissection was retrospectively analyzed, and related literature was reviewed. Results A patient suffering from severe abdominal pain 6 for hours was admitted to our hospi-tal from a local hospital, where he had been misdiagnosed as acute pancreatitis and failed to respond to treatment there. The patient was confirmed as having acute aortic dissection by aortic computer tomography angiography. Under general anesthesia, the patient underwent thoracic endovascular aortic repair ( TEVAR) , and the celiac trunk dissection was confirmed. This pa-tient fully recovered after TEVAR, and was discharged from hospital seven days later. He was followed up for one year with good prognosis. Conclusion Atypical clinical performance of aortic dissection may be the cause of misdiagnosis. To avoid or reduce misdiagnosis and mistreatment, clinicians should enhance awareness of aortic dissection, carry out intensive research of the main points of diagnosis with the help of imagining examination.
Keywords：AneurysmdissectingMisdiagnosisPancreatitis
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 5-7 )