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Aortic dissection is a highly lethal condition in which a tear in the intimal layer of the aorta causes blood to enter in between the intimal and medial layers of aorta causing them to separate (dissect). The dissection of aortausually presents with excruciating pain radiating to the back. Here we present a unique presentation of aortic dissectionwhere an elderly male presented with a chronic history of intractable hiccups or singultuses. His computed tomography (CT scan) revealed a dissection of the descending thoracic aorta. He was managed conservatively and was discharged home in stable condition. The purpose of this report is to highlight this unusual presentation of aortic dissectionand unmask the possible etiology of hiccups in such cases.