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Indian Journal of Emergency Medicine 11(3):p 169-170, July -Sept 2025. | DOI: https://doi.org/10.21088/ijem.2395.311X.11325.5
Case Report
Unruptured Infrarenal AAA Dissection with Hypotension
Kamal Preet Palta,, Aditi Shukla, Bibhash Roy
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Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Emergency Medicine 11(3):p 169-170, July -Sept 2025. | DOI: https://doi.org/10.21088/ijem.2395.311X.11325.5
How Cite This Article:
Shukla A, Palta KP, Roy B. Unruptured Infrarenal AAA Dissection with Hypotension. Ind J Emerg Med. 2025;11(3):169-173.Timeline
Received : April 04, 2025
Accepted : June 17, 2025
Published : September 30, 2025
Abstract
Introduction: Abdominal aortic aneurysm (AAA) dissection is an exceedingly rare clinical entity, distinct from the more common thoracic aortic dissection or ruptured AAA. Aortic aneurysms, often present with symptoms such as chest pain, back pain, or syncope. However, in some rare cases, the clinical presentation can be atypical, including the presentation of hypotension without the typical signs of rupture or acute dissection. This report discusses an unusual presentation of an unruptured aortic aneurysm dissection, which presented primarily with hypotension and mild abdominal discomfort, in a patient without the classic symptoms of chest pain or back pain. Case report: A 68-year-old female who presented to the emergency department with complaints of gradually worsening pain abdomen for 3 days; associated with fever, vomiting and vertigo. She was found unconscious on the floor. On arrival to ER, the patient’s blood pressure was non-recordable; per abdomen examination revealed aortic pulsations palpable on left side of umbilicus. CT Aortogram showed two segments of aortic dissection in descending thoracic aorta and infrarenal abdominal aorta respectively. Following CTVS consultation, the patient was managed conservatively and discharged in a stable condition. Conclusion: This case underscores the importance of considering AAA dissection in atypical presentations of abdominal pain and the need for tailored management strategies. We review the pathophysiology, diagnostic modalities, and therapeutic options, emphasizing the rarity of unruptured AAA dissection and its implications in clinical practice.
References
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Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest.
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Cite this article
Shukla A, Palta KP, Roy B. Unruptured Infrarenal AAA Dissection with Hypotension. Ind J Emerg Med. 2025;11(3):169-173.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| April 04, 2025 | June 17, 2025 | September 30, 2025 |
DOI: https://doi.org/10.21088/ijem.2395.311X.11325.5
Keywords
Abdominal aortic aneurysmUnruptured aortic dissectionEmergency departmentPain abdomenPulsatile massSearch for Similar Articles
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Timeline
| Received | April 04, 2025 |
| Accepted | June 17, 2025 |
| Published | September 30, 2025 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
