Anaphylaxis due to Hymenoptera sting progressing to thoracic aortic dissection

Mario Tovar; John S Garrett

doi:10.1080/08998280.2021.2019549

Anaphylaxis due to Hymenoptera sting progressing to thoracic aortic dissection

Proc (Bayl Univ Med Cent). 2022 Jan 18;35(2):222-223. doi: 10.1080/08998280.2021.2019549. eCollection 2022.

Authors

Mario Tovar¹, John S Garrett²

Affiliations

¹ Texas A&M College of Medicine, Dallas, Texas.
² Department of Emergency Medicine, Baylor University Medical Center, Dallas, Texas.

Abstract

Here we present an 83-year-old woman with truncal pain, hypoxemia, and nausea after a Hymenoptera sting. Due to progressive truncal pain, emergent computed tomography angiography was ordered and confirmed an acute Stanford type A aortic dissection extending from the aortic root and terminating in the left common iliac artery. She was emergently transferred to a quaternary care center and managed surgically. This case highlights anaphylaxis as a unique potential trigger of aortic dissection and the need for a high index of suspicion for early diagnosis.

Keywords: Anaphylaxis; Stanford type A; aortic dissection; epinephrine.

Publication types

Case Reports