{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T07:04:56Z","timestamp":1789628696197,"version":"build-2803163510"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Egypt Heart J"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Acute aortic dissection (AD) is a life-threatening disorder. A significant diagnostic pitfall is its ability to mimic an acute surgical abdomen, particularly in Stanford type B dissections. The aim of this report is to underscore the lifesaving step of appropriate imaging to probe the vascular integrity of the aorta before surgical intervention in a hypertensive patient that presented with classic features of large bowel acute intestinal obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 50-year-old hypertensive male presented with a one-week history of constipation, abdominal distension, and colicky pain, initially diagnosed as large bowel obstruction. Cardiologist review was requested due to persistent severe hypertension. Further evaluation with a contrast-enhanced CT imaging revealed an extensive Stanford type B (DeBakey type IIIb) aortic dissection involving the arch and abdominal aorta. The patient was managed conservatively with parenteral labetalol and opioid analgesics before transfer to a facility of his choice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In the setting of acute abdomen and severe hypertension, imaging to probe the vascular integrity of the aorta is essential to avoid life-threatening, inappropriate surgical interventions. The primary \u201ctake-away\u201d lesson is the need for high suspicion of AD in hypertensive patients with abdominal symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s43044-026-00775-y","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T06:33:28Z","timestamp":1789626808000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute aortic dissection masquerading as large bowel obstruction: a case report"],"prefix":"10.1186","volume":"78","author":[{"given":"Olarinde Jeffrey","family":"Oluwademilade Nee Ogunmola","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azemobor","family":"Osigbeme","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry Omagbeitse","family":"Abiyere","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eunice Oluremi","family":"Olabinri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tolulope Fasanmi","family":"Kolawole","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"775_CR1","first-page":"1309","volume-title":"Braunwald\u2019s Heart Disease: A textbook of Cardiovascular Medicine","author":"MA Creager","year":"2012","unstructured":"Creager MA, White RW, Schwaiger LS (2012) Diseases of the aorta. 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But the pain in his abdomen and back became almost unbearable. He was grateful that the doctors looked beyond his stomach issues to find the true cause of the pain, preventing an unnecessary surgery.","order":1,"name":"Ethics","label":"Patient perspective","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and accompanying images.","order":2,"name":"Ethics","label":"Informed consent","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"68"}}