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


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
Issue number1
StatePublished - Mar 1990
Externally publishedYes


  • Aortic aneurysm
  • Back pain
  • Hypertension
  • Pediatrics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine


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