Isolated celiac and splenic artery dissection

Case contributed by Dr Vardan Abrahamyan
Diagnosis almost certain

Presentation

Chest and abdominal pain

Patient Data

Age: 60 years
Gender: Male

Isolated spontaneous dissection of the celiac artery with extension to the splenic artery.

Annotated image

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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.