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Emergency Medicine Journal 2005;22:756-757; doi:10.1136/emj.2004.014829
© 2005 BMJ Publishing Group Ltd and the College of Emergency Medicine.

CASE REPORT

Acute aortic dissection provoked by sneeze: a case report

A Baydin1, M S Nural2, H Güven1, T Deniz1, F Bildik1 and A Karaduman1

1 Department of Emergency Medicine, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey
2 Department of Radiology, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey

Correspondence to:
Correspondence to:
Dr A Baydin
Department of Emergency Medicine, Faculty of Medicine, Ondokuz Mayis University, 55139 Samsun, Turkey; abaydin{at}omu.edu.tr

ABSTRACT

The response of the abdominal viscera and the contraction of the intercostal muscles during the respiratory phase of sneezing increases intrathoracic pressure, which may lead to several complications. However, there are no reports in the literature concerning aortic dissection after sneezing. We report a patient in whom the development of dissection was secondary to sneezing, although hypertension was present as a risk factor, and we discuss the relationship between sneezing and aortic dissection. To our knowledge, this is the first report of aortic dissection provoked by sneezing in the literature.

Keywords: Sneezing; Valsalva manoeuvre; acute aortic dissection


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