eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2015-09-16 3 10 338 343 10.12691/ajmcr-3-10-9 AJMCR20153109 article Vinod Namana vnamana@gmail.com 1 Ram Balasubramanian 1 Pramod Theetha Kariyanna 2 Rajeswer Sarasam 2 Sruthi Namana 2 Vijay Shetty 2 Department of Cardiology, Maimonides Medical Center, Brooklyn, NY, USA Department of Internal Medicine, Downstate Medical center, Brooklyn, NY, USA Aim: An aortic dissection is an uncommon serious condition, which usually presents with chest pain or upper back pain. Symptoms of aortic dissection may mimic those of other diseases, often leading to delay in diagnosis. Methods: We report an unusual case of aortic dissection with hemopericardium and thrombosed left common iliac artery presenting as acute limb ischemia. Conclusion: Maintaining a high index of clinical suspicion for aortic pathology could possibly lead to identification and timely management of a greater number of patients who have atypical presentations. This would be especially true for patients who have catastrophic presentations with unexplained symptoms. http://pubs.sciepub.com/ajmcr/3/10/9/ajmcr-3-10-9.pdf aortic dissection type a dissection type b dissection hemopericardium cardiogenic shock limb ischemia arterial thrombosis