Spontaneous Isolated Celiac Artery and Superior Mesenteric Artery Dissections: A Rare Case
نویسندگان
چکیده
BACKGROUND Arterial dissection is defined as the cleavage of the arterial wall by an intramural hematoma. Reports of dissection of the celiac and/or superior mesenteric artery are rare; as far as we know, only 24 cases of spontaneous isolated celiac trunk dissection, and 71 cases of spontaneous isolated superior mesenteric artery dissection have been reported. CASE REPORT The case presents a 48-year-old male with a sudden-onset epigastric pain. A Computed Tomography Angiography of the thoracoabdominal aorta was applied and dissections of both the celiac artery and SMA were determined. A conservative therapeutic approach was preferred and the patient was discharged with anticoagulant and antihypertensive therapy. CONCLUSIONS Although rare, spontaneous isolated celiac artery and superior mesenteric artery dissections must be kept in mind in the differential diagnosis of the epigastric pain in the emergency room. Contrast-enhanced Computed Tomography Angiography examination is the method of choice in the diagnosis.
منابع مشابه
Spontaneous Isolated Celiac and Superior Mesenteric Artery Dissection: Case Report with Literature Review
Spontaneous isolated splanchnic artery dissection is uncommon with superior mesenteric artery (SMA) being the most commonly dissection-affected artery. Spontaneous celiac artery dissection is rare, but underestimation is anticipated due to variable clinical manifestations. Only 11% of celiac artery dissections are associated with SMA dissections. Spontaneous isolated splanchnic artery dissectio...
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