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Case Reports in Cardiology
Volume 2018 (2018), Article ID 4791610, 4 pages
https://doi.org/10.1155/2018/4791610
Case Report

Aortic Dissection Presenting as Acute Pancreatitis: Suspecting the Unexpected

1Internal Medicine Department, Beaumont Hospital, Royal Oak, MI, USA
2Oakland University William Beaumont School of Medicine, Rochester, MI, USA
3General Internal Medicine Division, Beaumont Hospital, Royal Oak, MI, USA

Correspondence should be addressed to Adam Hafeez

Received 1 October 2017; Accepted 26 November 2017; Published 30 January 2018

Academic Editor: Takatoshi Kasai

Copyright © 2018 Adam Hafeez et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aortic dissection is a life-threatening condition in which the inner layer of the aorta tears. Blood surges through the tear, causing the inner and middle layers of the aorta to separate (dissect). It is considered a medical emergency. We report a case of a healthy 56-year-old male who presented to the emergency room with sudden onset of epigastric pain radiating to his back. His blood pressure was 167/91 mmHg, equal in both arms. His lipase was elevated at 1258 U/L, and he was clinically diagnosed with acute pancreatitis (AP). He denied any alcohol consumption, had no evidence for gallstones, and had normal triglyceride level. Two days later, he endorsed new suprapubic tenderness radiating to his scrotum, along with worsening epigastric pain. A MRCP demonstrated evidence of an aortic dissection (AD). CT angiography demonstrated a Stanford type B AD extending into the proximal common iliac arteries. His aortic dissection was managed medically with rapid blood pressure control. The patient had excellent recovery and was discharged home without any surgical intervention.