{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T08:32:58Z","timestamp":1772613178368,"version":"3.50.1"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,27]],"date-time":"2025-07-27T00:00:00Z","timestamp":1753574400000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Hemoptysis is the expectoration of blood originating from the lower respiratory tract and has a wide differential diagnosis, ranging from benign conditions to life-threatening diseases that include pulmonary embolism, severe infections, and aortic dissection. We present a 53-year-old male with a history of hypertension, COPD, and smoking, presenting to the emergency department with a two-day history of hemoptysis. In spite of the absence of classical symptoms such as chest pain, his chest X-ray showed mediastinal widening, and further imaging was performed with contrast-enhanced CT angiography. The CT scan confirmed a Stanford Type B aortic dissection. After multidisciplinary review, medical management was decided upon with antihypertensive medications and tranexamic acid. The patient remained hemodynamically stable and was transferred for further management. This case indicates the inclusion of aortic dissection in the differential diagnosis of hemoptysis, even without classic symptoms.<\/jats:p>","DOI":"10.1093\/omcr\/omaf107","type":"journal-article","created":{"date-parts":[[2025,7,27]],"date-time":"2025-07-27T14:50:47Z","timestamp":1753627847000},"source":"Crossref","is-referenced-by-count":1,"title":["Aortic dissection presenting with Hemoptysis: a diagnostic challenge"],"prefix":"10.1093","volume":"2025","author":[{"given":"Ahmad","family":"Alashqar","sequence":"first","affiliation":[{"name":"Department of Medicine, Alexandria University , Alexandria ,","place":["Egypt"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Alashqar","sequence":"additional","affiliation":[{"name":"Department of Medicine, An-Najah National University , PO Box 7, Nablus, West Bank ,","place":["Palestine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Daraghmeh","sequence":"additional","affiliation":[{"name":"Department of Medicine, An-Najah National University , PO Box 7, Nablus, West Bank ,","place":["Palestine"]},{"name":"Department of Internal Medicine, Tubas Turkish Governmental Hospital , Tubas ,","place":["Palestine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hala A I","family":"Dalbah","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Tubas Turkish Governmental Hospital , Tubas ,","place":["Palestine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed I","family":"Abu Kamesh","sequence":"additional","affiliation":[{"name":"An-Najah National University Hospital , Asira Street, Nablus, West Bank ,","place":["Palestine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yazan","family":"Giacaman","sequence":"additional","affiliation":[{"name":"Department of Medicine, An-Najah National University , PO Box 7, Nablus, West Bank ,","place":["Palestine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salma","family":"Hajj-Qasem","sequence":"additional","affiliation":[{"name":"Department of Medicine, An-Najah National University , PO Box 7, Nablus, West Bank ,","place":["Palestine"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,27]]},"reference":[{"key":"2025072710504283100_ref1","doi-asserted-by":"publisher","first-page":"299","DOI":"10.5152\/dir.2014.13426","article-title":"Diagnosis and management of hemoptysis","volume":"20","author":"Larici","year":"2014","journal-title":"Diagn Interv Radiol"},{"key":"2025072710504283100_ref2","first-page":"1253","article-title":"Hemoptysis: diagnosis and management","volume":"72","author":"Bidwell","year":"2005","journal-title":"Am Fam Physician"},{"key":"2025072710504283100_ref3","doi-asserted-by":"publisher","first-page":"814","DOI":"10.1136\/thorax.58.9.814","article-title":"The pulmonary physician in critical care * illustrative case 7: assessment and management of massive haemoptysis","volume":"58","author":"Lordan","year":"2003","journal-title":"Thorax"},{"key":"2025072710504283100_ref4","article-title":"Aortic Dissection"},{"key":"2025072710504283100_ref5","doi-asserted-by":"publisher","first-page":"1925","DOI":"10.1016\/j.jvs.2018.05.232","article-title":"Current evidence in predictors of aortic growth and events in acute type B aortic dissection","volume":"68","author":"Spinelli","year":"2018","journal-title":"J Vasc Surg"},{"key":"2025072710504283100_ref6","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1053\/j.semtcvs.2018.07.018","article-title":"Surgery for acute presentation of Thoracoabdominal aortic disease","volume":"31","author":"Lau","year":"2019","journal-title":"Semin Thorac Cardiovasc Surg"},{"key":"2025072710504283100_ref7","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1016\/j.gene.2018.07.047","article-title":"The pathogenesis of thoracic aortic aneurysm from hereditary perspective","volume":"677","author":"Wu","year":"2018","journal-title":"Gene"},{"key":"2025072710504283100_ref8","doi-asserted-by":"publisher","first-page":"1606","DOI":"10.3390\/life12101606","article-title":"Current understanding of aortic dissection","volume":"12","author":"Yuan","year":"2022","journal-title":"Life"},{"key":"2025072710504283100_ref9","doi-asserted-by":"publisher","DOI":"10.4414\/smw.2017.14489","volume":"147","author":"","journal-title":"Swiss Med Wkly."},{"key":"2025072710504283100_ref10","first-page":"136","article-title":"Hemoptysis as an unusual presenting symptom of invasion of a descending thoracic aortic aneurysmal dissection by lung cancer","volume":"29","author":"Tsui","year":"2002","journal-title":"Tex Heart Inst J"},{"key":"2025072710504283100_ref11","doi-asserted-by":"publisher","first-page":"e24","DOI":"10.1136\/emj.2004.021790","article-title":"Seeing the invisible: painless aortic dissection in the emergency setting","volume":"23","author":"Ayrik","year":"2006","journal-title":"Emerg Med J"},{"key":"2025072710504283100_ref12","doi-asserted-by":"publisher","first-page":"2324709617721252","DOI":"10.1177\/2324709617721252","article-title":"Painless aortic dissection-diagnostic dilemma with fatal outcomes: what do we learn?","volume":"5","author":"Fatima","year":"2017","journal-title":"J Investig Med High Impact Case Rep"},{"key":"2025072710504283100_ref13","doi-asserted-by":"publisher","first-page":"265","DOI":"10.12945\/j.aorta.2014.14-040","article-title":"Type B aortic dissection: a review of prognostic factors and meta-analysis of treatment options","volume":"2","author":"Luebke","year":"2014","journal-title":"Aorta (Stamford)"},{"key":"2025072710504283100_ref14","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1016\/j.ejvs.2020.11.023","article-title":"Survival and living situation after ruptured abdominal aneurysm repair in octogenarians","volume":"61","author":"Roosendaal","year":"2021","journal-title":"Eur J Vasc Endovasc Surg"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2025\/7\/omaf107\/63856999\/omaf107.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2025\/7\/omaf107\/63856999\/omaf107.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,27]],"date-time":"2025-07-27T14:50:48Z","timestamp":1753627848000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omaf107\/8214164"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":14,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7,14]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omaf107","relation":{},"ISSN":["2053-8855"],"issn-type":[{"value":"2053-8855","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,7]]},"article-number":"omaf107"}}