Acute total aortic dissection revealed by incoercible vomiting with multiple organ failure a case report

INTRODUCTION AND IMPORTANCE: Acute aortic dissections are an uncommon entity. The different clinical manifestations especially in younger patients with no predisposing factors make it challenging to diagnose, causing delayed care and high mortality. CASE PRESENTATION: In this report we describe a case of a total aortic dissection in a young man revealed by intractable vomiting with abdominal and chest pain. The dissection extended to various branches of the aorta including brachiocephalic trunk and iliac arteries, and caused multiple organ failure due to the many branches arising from the false lumen. CLINICAL DISSCUSSION: This case highlights the importance of considering acute aortic dissections in younger patients presenting with multi-organ failure, as well as the importance of early transthoracic echocardiography assessment in establishing the diagnosis. CONCLUSION: Acute aortic dissections are life threatening events, early diagnosis and management are key to prevent death especially in patients with atypical symptoms.