Case Report - (2023) Volume 13, Issue 5
Received: 27-Jun-2023, Manuscript No. jccr-23-104097;
Editor assigned: 29-Jun-2023, Pre QC No. P-104097;
Reviewed: 11-Jul-2023, QC No. Q-104097;
Revised: 17-Jul-2023, Manuscript No. R-104097;
Published:
01-Aug-2023
, DOI: 10.37421/2165-7920.2023.13.1571
Citation: Qiu, Ruofeng, Maria Yusuf and Donald Christmas.
“Massive Painless Aortic Dissection Masquerade as Lung Cancer with
Pneumonia.” J Clin Case Rep 13 (2023): 1571.
Copyright: © 2023 Qiu R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
We report a patient who presented with productive cough with dyspnea and change of voice who initially diagnosed as pneumonia. Later was found to have upper chest mass causing vocal cord paralysis suspected lung cancer but eventually turned out to be painless aortic dissection causing ortner syndrome. Left vocal cord paralysis is a concerning sign for painless aortic dissection even in patients with elevated risk of lung cancer such as old age and smoking. CT angiogram is usually the to go test in most scenarios, but if not appropriate due to contraindication such as renal dysfunction, ultrasound or MRI can be reliable alternative tests to expedite diagnosis and treatment.