Invasive thymoma presenting as aortic dissection.

Jolin, S W; Steinkeler, S; Yeh, C · Ann Emerg Med · 1991

case_report · Level V

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Abstract

We report the case of an invasive thymoma presenting as an aortic dissection in a 49-year-old woman with hypertension and a marfanoid appearance. The patient presented to the emergency department with "tearing" substernal chest pain. A chest radiograph revealed a right para-aortic bulge consistent with a dissecting aorta, but an aortogram was normal. Other disease states, including various types of mediastinal masses, have been reported to mimic aortic dissection.

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