Tintinalli's Emergency Medicine > Section 9 ...
Dissections are uncommon causes of abdominal pain and, because they almost invariably originate in the thoracic aorta, usually produce chest or upper back pain before migrating into the abdomen as the dissection moves distally. AAAs on the other hand tend to enlarge, become aneurysmal over years, and rather than dissect, leak and rupture. ................
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