Premium
A rare vascular complication in a patient with essential thrombocythaemia: spontaneous abdominal aortic dissection
Author(s) -
Chen Ye,
Han Xue,
Wang Fang,
Bai Beibei,
Wang Yingchun
Publication year - 2017
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1111/imj.13407
Subject(s) - medicine , aortic dissection , abdominal pain , dissection (medical) , surgery , radiology , complication , aorta
A 27‐year‐old woman complained of waist and back pain. Abdominal computed tomography angiography showed abdominal aortic dissection, the blood count revealed a high platelet count of 1655 × 10 9 /L. Negative for JAK2V617F , CALR and MPL mutations (i.e. triple‐negative), the patient was diagnosed as essential thrombocythaemia ( ET ) with abdominal aortic dissection and was treated with cytoreduction and antiplatelet drugs. Cases of abdominal aortic dissection in ET have not been previously reported. As such, we proposed a mechanism of abdominal aortic dissection caused by endothelial dysfunction and further emphasised appropriate management in ET with abdominal aortic dissection .