Presentation
Chest and abdominal pain
Patient Data
Isolated spontaneous dissection of the celiac artery with extension to the splenic artery.
White arrows indicate dissection flap of the celiac artery with extension to the splenic artery.
Red arrow indicates dissection flap of the left gastric artery.
Case Discussion
CT findings are compatible with isolated celiac and splenic artery dissection with signs of splenic infarction, there is also signs of left gastric artery dissection.
Arterial dissection is a disruption of the inner layer of the artery.
The frequency of isolated celiac artery dissection is very low and commonly occurs in men.
The most sensitive imaging modality for diagnosis of arterial dissection is contrast-enhanced CT scan with existence of an intimal flap.