Intramural haematoma of the aorta presenting as fever of unknown origin

Abstract

The clinical presentation of aortic intramural haematoma resembles aortic dissection in many aspects, but the underlying pathophysiology is quite different. Chronic aortic dissection may present as a febrile disease, but is seldom in aortic intramural haematoma. Here we report a case with aortic intramural haematoma with an initial presentation of febrile disease. The patient underwent surgical repair of the diseased aorta successfully and the fever resolved shortly after the operation.

Key Words:

• intramural haematoma
• aortic dissection
• fever