Isolated Abdominal Aortic Dissection Presenting with Rectal Bleeding.
Nicolas Nicolaou, Gideon Van Wyk, Veronique Nicolaou and Nigel Flint
World Journal of Medical and Surgical Case Reports 2014, 3:16
Isolated Abdominal Aortic Dissection (IAAD) may present in a variety of ways resulting in misdiagnosis. It is a rare clinical entity having been reported infrequently in the literature. Presentation of an IAAD with rectal bleeding to our knowledge has not been documented previously and may be directly attributed to occlusion of the internal mesenteric artery by a dissecting aneurysm resulting in ischemic colitis. Description of the mechanism and management is discussed as well as alternative access to the abdominal aorta in cases of “hostile” abdomen