Aortic Dissection Presenting as Septic Shock: A Case Report and Literature Review. (14th February 2018)

• Record Type: Journal Article
• Authors: Feng, Jing; Liu, Rui; Ma, Sai; Cao, Changkui; Zhang, Wei; Zhao, Yang; Nie, Shinan
• Other Names: Kula Serdar Academic Editor.
• Is Part Of: Case reports in emergency medicine. Volume 2018(2018)
• Publication Date: 2018-02-14
• Subjects: Emergency medicine -- Periodicals; Emergency Medicine; Emergency medicine; Periodicals; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 616.025
• DOI: 10.1155/2018/9706290
• Languages: English
• ISSNs: 2090-648X

Abstract

Abstract : Acute aortic dissection is a life-threatening clinical emergency, which mostly occurs in aged patients and presents with sharp chest pain. In this paper, we reported a case of acute aortic dissection, which induced septic shock in a young woman, without typical chest pain. The septic shock was possibly due to the bacterial translocation caused by aortic dissection-induced intestinal ischemia and intestinal epithelial barrier dysfunction. Our case appeared as the first case report of aortic dissection presenting as septic shock. This case is rare but can serve as a reminder that aortic dissection may be accompanied by septic shock, and this could result in a grave outcome.