Unusual cause of acute back pain mimicking aortic dissection: a case report.
We report the case of a 62-year-old woman who initially presented with symptoms suggesting acute type A aortic dissection. Imaging studies revealed hemorrhagic pericardial fluid without the evidence of dissection. Foreign body material was noted floating in the inferior vena cava (IVC) and also piercing the right ventricular wall. Upon surgical exploration, the extracted material could be identified to be acrylic bone cement (palacos). The patient had reported a history of kyphoplasty in 2008.
Sana Herzchirurgie Stuttgart, Stuttgart, Germany. m.czesla@sana-herzchirurgie.de
Markus
M
Czesla
Olga
O
Karnari
Julia
J
Götte
Bernhard
B
Schulte
Ulrich
U
Pfeilsticker
Anita
A
Narr
Nicolas
N
Doll
D000208:Acute Disease; D000784:Aortic Dissection / Q000175:diagnosis; D001014:Aortic Aneurysm / Q000175:diagnosis; D001416:Back Pain / Q000209:etiology*; D001843:Bone Cements / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006352:Heart Ventricles / Q000293:injuries / Q000601:surgery; D006801:Humans; D058498:Kyphoplasty / Q000009:adverse effects; D008875:Middle Aged; D010490:Pericardial Effusion / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D035583:Rare Diseases; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000601:surgery
D001843:Bone Cements