Coeliac artery dissection

Case contributed by Michał Jagodziński
Diagnosis almost certain

Presentation

Acute abdominal pain that occured 3 days after motor vehicle accident. Chest pain. Elevated CRP levels.

Patient Data

Age: 75 years
Gender: Male
ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+
arterial phase
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial C+
delayed
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Info

Aneurysmal dilatation and dissection of coeliac artery extending into common hepatic artery and left gastric artery.

Filling defects in some branches of splenic artery consistent with thrombosis.

Splenic infarcts.

Small bilateral hydrothorax. Bilateral nephrolithiasis. Small simple cysts in both kidneys. Prostate enlargement. L4 vertebral body demonstrates a limbus vertebra.

Case Discussion

Here is a case of coeliac artery dissection extending into common hepatic artery and left gastric artery, with thrombosis of some splenic artery branches and splenic infarcts. The abdominal aorta is not involved.

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