LE TRAVAIL HUMAIN, cilt.3, sa.81, ss.2025-2014, 2018 (SCI-Expanded)
Background: Extraortic pathologies mimicking aortic pathologies have been frequently searched in the literature. However, publications investigating the association of acute aortic pathologies with pathologic patterns that mimic this extraortic picture are not frequent. Therefore, our aim in this study is to evaluate the results of computed tomography angiography (CTA) of patients with acute chest pain that suspected acute aortic pathology, to identificate the pathologies if any and to determine the frequency of coexistence with the extra aortic pathologies that mimic clinical picture.
Material and Method: CTA examinations of patients with suspected urgent aortic pathology between January 2017 and May 2017 were included in the study. Acute aortic pathologies and associated extra-aortic pathologies were recorded.
Results: In of a total of 66 CTA examinations, 15 (%22.3) revealed aortic pathology. Extra-aortic pathologies associated with acute aortic pathologies include intraventricular thrombi in 1 patient, lung mass in 2 patients, vasculitic pulmonary involvement in 1 patient, hydropic gallbladder and cholecystitis in 2 patients, adrenal gland mass in 1 patient, renal artery thrombosis in 1 patient, inferior mesenteric artery thrombosis in 1 patient and ileus in 1 patient.
Conclusion: The pain of different thoracoabdominal emergency pathologies can mimic acute aortic pathologies as well as coexistence. CTA imaging can also rapidly detect thoracoabdominal pathologies other than acute aortic pathologies.