Acute aortic dissection masquerading as large bowel obstruction: a case report

{"BACKGROUND:":[0],"Acute":[1],"aortic":[2,117],"dissection":[3,118],"(AD)":[4],"is":[5,13,33,163,175],"a":[6,54,76,104,139],"life-threatening":[7],"disorder.":[8],"A":[9,70],"significant":[10],"diagnostic":[11],"pitfall":[12],"its":[14],"ability":[15],"to":[16,34,42,97,138,155,165],"mimic":[17],"an":[18,109],"acute":[19,65,149],"surgical":[20,51,169],"abdomen,":[21],"particularly":[22],"in":[23,53,183],"Stanford":[24,111],"type":[25,112,115],"B":[26,113],"dissections.":[27],"The":[28,125,171],"aim":[29],"of":[30,39,47,62,79,141,148,160,181],"this":[31],"report":[32],"underscore":[35],"the":[36,44,48,120,146,157,161,176],"lifesaving":[37],"step":[38],"appropriate":[40],"imaging":[41,107,154],"probe":[43,156],"vascular":[45,158],"integrity":[46,159],"aorta":[49,162],"before":[50,136],"intervention":[52],"hypertensive":[55,72,184],"patient":[56,126],"that":[57],"presented":[58,74],"with":[59,75,103,130,186],"classic":[60],"features":[61],"large":[63,89],"bowel":[64,90],"intestinal":[66],"obstruction.":[67,91],"CASE":[68],"PRESENTATION:":[69],"50-year-old":[71],"male":[73],"one-week":[77],"history":[78],"constipation,":[80],"abdominal":[81,123,187],"distension,":[82],"and":[83,122,133,151],"colicky":[84],"pain,":[85],"initially":[86],"diagnosed":[87],"as":[88],"Cardiologist":[92],"review":[93],"was":[94,127],"requested":[95],"due":[96],"persistent":[98],"severe":[99,152],"hypertension.":[100],"Further":[101],"evaluation":[102],"contrast-enhanced":[105],"CT":[106],"revealed":[108],"extensive":[110],"(DeBakey":[114],"IIIb)":[116],"involving":[119],"arch":[121],"aorta.":[124],"managed":[128],"conservatively":[129],"parenteral":[131],"labetalol":[132],"opioid":[134],"analgesics":[135],"transfer":[137],"facility":[140],"his":[142],"choice.":[143],"CONCLUSION:":[144],"In":[145],"setting":[147],"abdomen":[150],"hypertension,":[153],"essential":[164],"avoid":[166],"life-threatening,":[167],"inappropriate":[168],"interventions.":[170],"primary":[172],"\\"take-away\\"":[173],"lesson":[174],"need":[177],"for":[178],"high":[179],"suspicion":[180],"AD":[182],"patients":[185],"symptoms.":[188]}

Authors

Institutions

Publication Details

Journal
The Egyptian Heart Journal
Published
2026-09-17
DOI
https://doi.org/10.1186/s43044-026-00775-y
Primary Topic
Aortic Disease and Treatment Approaches
Type
article
Field-Weighted Citation Impact
0.00
Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
article

Acute aortic dissection masquerading as large bowel obstruction: a case report

Eunice Olabinri, Olarinde Jeffrey Oluwademilade Nee Ogunmola, Azemobor Osigbeme, Henry Omagbeitse Abiyere et al.
The Egyptian Heart Journal
Aortic Disease and Treatment Approaches
article

Acute aortic dissection masquerading as large bowel obstruction: a case report

Eunice Olabinri, Olarinde Jeffrey Oluwademilade Nee Ogunmola, Azemobor Osigbeme, Henry Omagbeitse Abiyere, Tolulope Fasanmi Kolawole
article en

Abstract

BACKGROUND: Acute aortic dissection (AD) is a life-threatening disorder. A significant diagnostic pitfall is its ability to mimic an acute surgical abdomen, particularly in Stanford type B dissections. The aim of this report is to underscore the lifesaving step of appropriate imaging to probe the vascular integrity of the aorta before surgical intervention in a hypertensive patient that presented with classic features of large bowel acute intestinal obstruction. CASE PRESENTATION: A 50-year-old hypertensive male presented with a one-week history of constipation, abdominal distension, and colicky pain, initially diagnosed as large bowel obstruction. Cardiologist review was requested due to persistent severe hypertension. Further evaluation with a contrast-enhanced CT imaging revealed an extensive Stanford type B (DeBakey type IIIb) aortic dissection involving the arch and abdominal aorta. The patient was managed conservatively with parenteral labetalol and opioid analgesics before transfer to a facility of his choice. CONCLUSION: In the setting of acute abdomen and severe hypertension, imaging to probe the vascular integrity of the aorta is essential to avoid life-threatening, inappropriate surgical interventions. The primary "take-away" lesson is the need for high suspicion of AD in hypertensive patients with abdominal symptoms.

The Egyptian Heart JournalVol. 78(1)
Ekiti State University (NG), Afe Babalola University (NG)
Openalex Percentile: Top 12%
Aortic Disease and Treatment Approaches
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.