A Case of Aortic Dissection Determined with Clinical Suspicion in Young Female Patient Who Admitted with Chest and Back Pain

Aortic dissection is an urgent clinical situation and mortality is not have been diagnosed early that presenting with usually chest and back pain and seen more frequently in men and over 50 years. We aimed to present a young women patient who admitted to emergency service with chest and back pain and had diagnoses of the aortic dissection although negative initial diagnostic tests and had continued clinical suspicion. 37 year old female patient admitted to our emergency department with belt-like pain existing by 24 hours which started suddenly below the left mammary and radiated to back. There was no concomitant nausea, vomiting, breath shortness. There were no any positive findings in tests performed in other clinic which she applied with the complaint of pain. She was given analgesic medication in district hospital after Miyocardial Infarction (MI) and pneumotorax eliminated. Also intramuscular steroid injection was performed by her orthopedist uncle to the region of back pain for thoracic nerve blockade. The patient was discharged after partial decrease of the pain. The patient admitted to another clinic because of relapsing of the pain and she was referred to Case Report A 37-year-old female patient presented with a chest pain that was reflected in the back. No pathology was found in the examinations performed in other hospitals. Blood tests, electrocardiography, echocardiography and contrast-enhanced computed tomography are normal. Aortic dissection is detected in a contrast-enhanced computerized tomography, which is taken again to the patient after the pain does not pass. Clinical suspicion is very important for the diagnosis of aortic dissection. The patient could not be diagnosed by repeated examination and the patient was diagnosed with the second tomography taken on suspicion of clinical suspicion. Patients should not be discharged unless the clinical suspicion is terminated.