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Emergency Medicine Journal 2006;23:e38; doi:10.1136/emj.2006.034173
© 2006 BMJ Publishing Group Ltd, and British Association for Accident and Emergency Medicine

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EMERGENCY CASEBOOK

Atypical presentation of aortic dissection secondary to a gunshot wound

E Domingo, D Levy, S Iosovich

Good Samaritan Medical Center Emergency Medicine Residency Program, West Islip, New York College of Osteopathic Medicine Educational Consortium, NY, USA

Correspondence to:
Correspondence to:
Dr E Domingo
30 Eighth Avenue, Farmingdale, NY 11735, USA; emdomingo{at}aol.com


ABSTRACT
We present a case of aortic dissection secondary to a gunshot wound. The traumatic aortic dissection in this patient occurred secondary to the cavitary forces produced by the bullet passing through the patient’s chest. This is a rare phenomenon that could easily be missed if attention is placed only on the more obvious injuries.


Abbreviations: ED, emergency department




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Emergency casebook
Emerg. Med. J., June 1, 2006; 23(6): 485 - 486.
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Aortic dissection: timing and location of angiography caused delay in transfer
Alan D Exton
EMJ Online, 27 Jun 2006 [Full text]



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© 2006 BMJ Publishing Group Ltd, and British Association for Accident and Emergency Medicine