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Image challenge
Post-traumatic back pain with abnormal aortic arch contour
  1. Morgan Peter McMonagle
  1. Department of Trauma, Imperial College Healthcare NHS Trust, London, UK
  1. Correspondence to Morgan Peter McMonagle, Department of Trauma, Imperial College Healthcare NHS Trust, London W2 1NY, UK; drmorganmc{at}yahoo.co.uk

https://doi.org/10.1136/emermed-2020-210078

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    Clinical Introduction

    A 42-year-old restrained women driver presented 4 days after a low-speed road traffic collision (about 30 mph) where she had ‘rear-ended’ another vehicle, complaining of persistent interscapular pain. No other injuries were reported. The only clinical finding was moderate interscapular tenderness. All bloods, chest X-ray and ECG were normal. She was referred for CT scanning with angiographic phase (figure 1).

    Figure 1

    Reconstructed coronal images from the CT angiogram.

    What is the diagnosis?

    1. Acute aortic dissection

    2. Benign congenital anomaly of the aorta (Correct Answer) …

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    Footnotes

    • Handling editor Ellen J weber

    • Contributors Patient was reviewed and managed by the author, including CT scanning ordering, image editing, concept for publishing the image and writing of manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, conduct, reporting or dissemination plans of this research.

    • Provenance and peer review Not commissioned; internally peer reviewed.