Journal of Emergencies, Trauma, and Shock
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Year : 2021  |  Volume : 14  |  Issue : 3  |  Page : 187-189

Stanford - A aortic dissection presenting as a triple mimic and role of point of care ultrasound in deciphering it

Department of Emergency Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India

Correspondence Address:
Sasikumar Mahalingam
No 9, Vaigai Street, Vallalar Nagar, Nainarmandabam, Puducherry - 605 004
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JETS.JETS_134_20

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Aortic dissection (AD) is a great imitator, and its diagnosis is quite challenging due to its varied presentations and unreliable clinical findings. Based on the literature search we found, this is the first case report of Stanford-A/DeBakey Type 1 AD reported as a triple mimic, namely stroke, acute limb ischemia, and pericarditis. Here, we describe the case of a 46-year-old male who presented to our emergency department with features suggestive of acute pericarditis, cerebrovascular accident, acute limb ischemia, which could have been attributed to athero-thrombo-embolic disease and AD could have been possibly missed. However, point-of-care ultrasound helped us in the diagnosis of this highly lethal condition.

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