Aortic dissection presenting as isolated lower extremity pain in a young man

Aortic dissection, demonstrated by symptomatic isolated ischemia of the lower extremities and renal artery infarction in the absence of abdominal symptoms, is rare and often misinterpreted. This diagnosis is often delayed or missed, frequently resulting in a fatal outcome. It should be considered in young patients with an atypical presentation of acute lower extremity ischemia. This case report describes a 38-year-old man who presented with a sudden onset of diaphoresis with severe nonradiating leg pain in the right lower limb. The patient underwent surgical repair aided by biologic glue, and both lower extremity and kidney functions were preserved.