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- Title
Aortic dissection following "ecstasy" use complicated by compartment syndrome.
- Authors
McDonnell, Erin; Zhou, Yi; Chao, Joshua; Lee, Leonard
- Abstract
Background: Patients who present to the emergency department (ED) with acute chest pain should receive a thorough history and exam to rule out rare, life-threatening conditions, such as drug-induced acute aortic dissections (AD). Case presentation: A 34-year-old man with a history of uncontrolled hypertension, smoking, and "ecstasy" use presented to the ED with an acute type A aortic dissection (AD). Following surgery to repair the dissection, he developed compartment syndrome of the lower extremity requiring muscle excision and neurolysis with subsequent wound debridement procedures. Conclusion: Physicians treating adults with symptoms and signs of aortic dissection should take a focused history about substance use and include AD on their differential. In addition, the extremities should be monitored for signs and symptoms of ischemia throughout the acute peri-surgical period(s).
- Subjects
DEBRIDEMENT; COMPARTMENT syndrome; LEG; ECSTASY (Drug); AORTIC dissection; DISEASE complications
- Publication
International Journal of Emergency Medicine, 2022, Vol 15, Issue 1, p1
- ISSN
1865-1372
- Publication type
Article
- DOI
10.1186/s12245-022-00461-1