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Abdominal pain, shock after anticoagulation treatment

    Author: Jean-François Paul, MD, Plessis-Robinson, France
    Body Region: Abdomen and Pelvis

    1. Patient presentation
    2. CT Images
    3. CT Findings
    4. Diagnosis
    5. References

    1. Patient presentation

    • A 77-year-old woman presented with abdominal pain and shock typical of a hemorrhagic syndrome.
    • Medical history revealed long-term anticoagulation treatment for atrial fibrillation, but no
      recent trauma.

    • Electrocardiography indicated a T wave inversion, suggestive of aortic dissection with cardiac
      involvement.

    • Contrast-enhanced CT of the abdomen was performed to investigate the possibility of internal
      bleeding.
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