# Hidden in Plain Sight: Deciphering Chest Pain, Hypertension, and Elevated Creatinine to Unveil Aortic Dissection

## TL;DR

This case study highlights the importance of recognizing aortic dissection through chest pain, hypertension, and elevated creatinine when imaging is limited.

## Contribution

The paper presents a unique case where MRI was used for diagnosis when CT angiography was unavailable.

## Key findings

- Stanford type B aortic dissection was diagnosed using MRI due to unavailability of CT angiography.
- The case emphasizes the need for a detailed clinical examination and vigilance in diagnosing aortic dissection.
- Individualized patient care and comprehensive management strategies are crucial for treatment success.

## Abstract

Chest pain is a common yet complex presentation in the emergency department, often requiring the exclusion of life-threatening conditions such as aortic dissection. Stanford type B aortic dissection, which affects the descending aorta, poses significant diagnostic and therapeutic challenges but can often be managed medically without immediate surgery. This case underscores the necessity of having a vigilant mindset, performing a detailed clinical examination, and including aortic dissection in the differential diagnosis, especially when typical symptoms are observed. The challenging part of this case was the investigation, as computed tomography angiography couldn't be performed, necessitating the use of magnetic resonance imaging for diagnosis. It highlights the importance of individualized patient care, vigilant monitoring, and comprehensive management strategies in the treatment of aortic dissection.