Transient Aortic Vasospasm Case Report—The “Triple Adrenal” Sign

Arterial vasospasm is a clinically significant entity that can lead to significant morbidity and, in some cases, even mortality. Although vasospasm most commonly occurs in coronary and cerebral arteries, it can occur in any vessel, including the aorta. This case report describes a favorable clinical outcome following prompt recognition and management and introduces a memorable imaging sign—the “triple adrenal”—to aid identification. To reduce adverse outcomes, radiologists should be aware of aortic vasospasm and the agents and conditions that precipitate it. Given its rarity, aortic vasospasm may be challenging to diagnose. As with any ischemic event, reducing time to reperfusion is critical in preventing irreparable damage.