Anatolian Journal of Emergency Medicine

Yazarlar: Engin ÖZAKIN, Sevinç ERDEM

Konular:Tıp

Anahtar Kelimeler:Pulmonary embolism,Aortic dissection,Coexistence,Imaging

Özet: Aim: Signs and symptoms of pulmonary embolism and aortic dissection are similar, and mortality is high in both cases. Co-diagnosis is rare and, if diagnosed, creates a treatment dilemma. Computed tomography is the most used imaging method in both diagnoses, and bedside ultrasound imaging is also very useful for emergency physicians. Our case is an 87-year-old male patient with pulmonary embolism and aortic dissection. Case Report: An 87-year-old male patient was admitted to our emergency department with speech impairment and ab altered state of consciousness. The patient had a history of hypertension, coronary artery disease, and diabetes mellitus. The patient's initial vital measurements were hypotensive and tachycardic. Chest radiography showed prominence in the aorta and deviation to the right in the esophagus and trachea. Appearance compatible with uncompressible thrombus in both lower femoral veins on bedside ultrasound imaging and ECHO showed dilatation in the right chambers of the heart and enlargement in the aortic outlet. Computed tomography angiography revealed aneurysmatic dilatation at the outlet of the aorta and dissection in the descending aorta, as well as a thrombus in the left main pulmonary artery and segmental branches. Conclusion: It should be kept in mind that different diagnoses can be seen together in patients admitted to the emergency department. Even if a diagnosis explaining the clinic is made in the patient, the presence of a second underlying diagnosis should not be ignored.

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