Spontaneous isolated celiac trunk dissection

Case contributed by Hugo Neves (RT)
Diagnosis certain

Presentation

Upper abdominal pain.

Patient Data

Age: 40 years
Gender: Male

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

Partial splenic infarction.

Case Discussion

Arterial dissection of branches arising from the aorta are usually seen in the setting of aortic dissection, but occasionally are seen in isolation, especially in carotid and renal arteries, but rarely in visceral arteries.

Spontaneous dissection of a visceral artery is uncommon and often results in fatal hemorrhage or ischemia.

Since 1959 only 11 cases of isolated spontaneous celiac artery dissection have been reported [1]

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