Back pain with cardiovascular collapse in a pediatric emergency department patient

John R. Griggs, J. Timothy Bricker, M. Michelle Mariscalco, Larry S. Jefferson, Claire Langston

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Severe back pain in the pediatric patient is an infrequent complaint. The following case report illustrates the disastrous outcome for this patient with back pain secondary to aortic dissection. The most common predisposing disease process is hypertension, which exposes the aortic wall to high pressures and flows. Just as in the adult patient, the possibility of aortic dissection should be included in the differential diagnosis of acute onset of severe back pain with preexisting hypertension in the pediatric patient. A high index of suspicion is warranted.

    Original languageEnglish (US)
    Pages (from-to)17-20
    Number of pages4
    JournalPediatric Emergency Care
    Volume6
    Issue number1
    DOIs
    StatePublished - Mar 1990

    Keywords

    • Aortic aneurysm
    • Back pain
    • Hypertension
    • Pediatrics

    ASJC Scopus subject areas

    • Pediatrics, Perinatology, and Child Health
    • Emergency Medicine

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