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Case Reports
. 2022 Jan 18;35(2):222-223.
doi: 10.1080/08998280.2021.2019549. eCollection 2022.

Anaphylaxis due to Hymenoptera sting progressing to thoracic aortic dissection

Mario Tovar  1 , John S Garrett  2
Affiliations
Case Reports

Anaphylaxis due to Hymenoptera sting progressing to thoracic aortic dissection

Mario Tovar et al. Proc (Bayl Univ Med Cent). .

Abstract

Here we present an 83-year-old woman with truncal pain, hypoxemia, and nausea after a Hymenoptera sting. Due to progressive truncal pain, emergent computed tomography angiography was ordered and confirmed an acute Stanford type A aortic dissection extending from the aortic root and terminating in the left common iliac artery. She was emergently transferred to a quaternary care center and managed surgically. This case highlights anaphylaxis as a unique potential trigger of aortic dissection and the need for a high index of suspicion for early diagnosis.

Keywords: Anaphylaxis; Stanford type A; aortic dissection; epinephrine.

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Figures

Figure 1.
Figure 1.
CTA demonstrating Stanford type A aortic dissection at level of aortic root and terminating in the left common iliac artery.
See this image and copyright information in PMC

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