Abstract
Isolated acute abdominal aortic dissection is a rare condition, accounting for 1.3% of all aortic dissections. It may be classified as iatrogenic, traumatic or spontaneous. To date, only 92 patients have been reported in western literature. All the reports were based on the Caucasian population, and the mean age according to the International Registry of Acute abdominal aortic dissection (IRAD) was 67.7 ± 13.3 years. We report a case of an isolated infrarenal abdominal aortic dissection in a middle age Asian man, and our subsequent management.