Post coital aortic dissection: a case report.
BACKGROUND
Sudden onset peri- or post-coital cardiovascular disease is well documented in the literature including myocardial infarction, pulmonary embolus and subarachnoid haemorrhage. The occurrence of aortic dissection in this setting has been reported only once previously.


METHODS
We report the case of a 47 year old man who developed sudden onset right leg pain during coitus. This was initially believed to be neurological due to nerve impingement but an MRI failed to identify a prolapse. On further review after 6 weeks, pulses were noted to be absent in the patient's right leg and an urgent vascular review with investigation identified a dissection of the aorta which was subsequently successfully treated.


CONCLUSIONS
This case illustrates a rare presentation of aortic dissection and demonstrates the importance of a thorough vascular assessment in the presence of sudden onset limb pain.
Morris-Stiff
Gareth
G
Department of Surgery, Royal Glamorgan Hospital, Ynysmaerdy, Llantrisant, Wales, UK. garethmorrisstiff@hotmail.com
Coxon
Mari
M
Ball
Elizabeth
E
Lewis
Michael H
MH