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Post coital aortic dissection: a case report

BACKGROUND: Sudden onset peri- or post-coital cardiovascular disease is well documented in the literature including myocardial infarction, pulmonary embolus and subarachnoid haemorrhage. The occurrence of aortic dissection in this setting has been reported only once previously. CASE PRESENTATION: We...

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Autores principales: Morris-Stiff, Gareth, Coxon, Mari, Ball, Elizabeth, Lewis, Michael H
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2244618/
https://www.ncbi.nlm.nih.gov/pubmed/18199324
http://dx.doi.org/10.1186/1752-1947-2-6
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author Morris-Stiff, Gareth
Coxon, Mari
Ball, Elizabeth
Lewis, Michael H
author_facet Morris-Stiff, Gareth
Coxon, Mari
Ball, Elizabeth
Lewis, Michael H
author_sort Morris-Stiff, Gareth
collection PubMed
description BACKGROUND: Sudden onset peri- or post-coital cardiovascular disease is well documented in the literature including myocardial infarction, pulmonary embolus and subarachnoid haemorrhage. The occurrence of aortic dissection in this setting has been reported only once previously. CASE PRESENTATION: We report the case of a 47 year old man who developed sudden onset right leg pain during coitus. This was initially believed to be neurological due to nerve impingement but an MRI failed to identify a prolapse. On further review after 6 weeks, pulses were noted to be absent in the patient's right leg and an urgent vascular review with investigation identified a dissection of the aorta which was subsequently successfully treated. CONCLUSION: This case illustrates a rare presentation of aortic dissection and demonstrates the importance of a thorough vascular assessment in the presence of sudden onset limb pain.
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spelling pubmed-22446182008-02-15 Post coital aortic dissection: a case report Morris-Stiff, Gareth Coxon, Mari Ball, Elizabeth Lewis, Michael H J Med Case Reports Case Report BACKGROUND: Sudden onset peri- or post-coital cardiovascular disease is well documented in the literature including myocardial infarction, pulmonary embolus and subarachnoid haemorrhage. The occurrence of aortic dissection in this setting has been reported only once previously. CASE PRESENTATION: We report the case of a 47 year old man who developed sudden onset right leg pain during coitus. This was initially believed to be neurological due to nerve impingement but an MRI failed to identify a prolapse. On further review after 6 weeks, pulses were noted to be absent in the patient's right leg and an urgent vascular review with investigation identified a dissection of the aorta which was subsequently successfully treated. CONCLUSION: This case illustrates a rare presentation of aortic dissection and demonstrates the importance of a thorough vascular assessment in the presence of sudden onset limb pain. BioMed Central 2008-01-16 /pmc/articles/PMC2244618/ /pubmed/18199324 http://dx.doi.org/10.1186/1752-1947-2-6 Text en Copyright © 2008 Morris-Stiff et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Morris-Stiff, Gareth
Coxon, Mari
Ball, Elizabeth
Lewis, Michael H
Post coital aortic dissection: a case report
title Post coital aortic dissection: a case report
title_full Post coital aortic dissection: a case report
title_fullStr Post coital aortic dissection: a case report
title_full_unstemmed Post coital aortic dissection: a case report
title_short Post coital aortic dissection: a case report
title_sort post coital aortic dissection: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2244618/
https://www.ncbi.nlm.nih.gov/pubmed/18199324
http://dx.doi.org/10.1186/1752-1947-2-6
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