EurekaMag
+ Translate
+ Most Popular
The pigeon tick (Argas reflexus): its biology, ecology, and epidemiological aspects
Prevalence of hemoglobin abnormalities in Kebili (Tunisian South)
Lipogranuloma: a preventable complication of dacryocystorhinostomy
Value of basal plasma cortisol assays in the assessment of pituitary-adrenal insufficiency
Bees from the Belgian Congo. The acraensis group of Anthophora
Placing gingival retraction cord
Total serum IgE, allergy skin testing, and the radioallergosorbent test for the diagnosis of allergy in asthmatic children
Acariens plumicoles Analgesoidea parasites des oiseaux du Maroc
Injuries of terminal phalanges of the fingers in children
Biology of flowering and nectar production in pear (Pyrus communis)
Das Reliktvorkommen der Aspisviper (Vipera aspis L.) im Schwarzwald
Hydrological modelling of drained blanket peatland
Pathologic morphology and clinical significance of the anomalous origin of the left circumflex coronary artery from the right coronary artery. General review and autopsy analysis of 30 cases
Cyto genetic analyses of lymphocyte cultures after exposure to calcium cyclamate
Axelrodia riesei, a new characoid fish from Upper Rio Meta in Colombia With remarks concerning the genus Axelrodia and description of a similar, sympatric, Hyphessobrycon-species
Favorable evolution of a case of tuberculosis of pancreas under antibiotic action
RIFM fragrance ingredient safety assessment, Valencene, CAS Registry Number 4630-07-3
Parenteral microemulsions: an overview
Temperate pasture: management for grazing and conservation
Evaluation of a new coprocessed compound based on lactose and maize starch for tablet formulation
Thermal expansion and cracking of three confined water-saturated igneous rocks to 800C
Revision of the genera of the tribe Stigmoderini (Coleoptera: Buprestidae) a discussion of phylogenetic relationships
Anal tuberculosis. Report of a case
Gastric tuberculosis in the past and present
Adaptive responses of the cardiovascular system to prolonged spaceflight conditions: assessment with Holter monitoring

Spontaneous isolated dissection of the celiac trunk with rupture of the proximal splenic artery: a case report


Spontaneous isolated dissection of the celiac trunk with rupture of the proximal splenic artery: a case report



European Journal of Vascular and Endovascular Surgery: the Official Journal of the European Society for Vascular Surgery 37(2): 194-197



ISSN/ISBN: 1078-5884

PMID: 19010696

DOI: 10.1016/j.ejvs.2008.10.009

Spontaneous visceral artery dissection is an uncommon cause of acute abdominal pain. Complications are ischemia, aneurysm formation and rupture. We present a case with synchronous rupture of the splenic artery causing massive bleeding and demanding urgent surgery. To our knowledge, only 24 previous cases are reported in the literature. The patient was a 56-year-old male smoker with no previous medical history who was treated surgically with exposure of the suprarenal aorta through left-sided medial visceral rotation and isolation of the celiac artery. The origin of the bleeding was identified as a longitudinal rupture of the splenic artery just distal to the hepatic artery. The artery was ligated and splenectomy was performed because of splenic infarction. The hepatic artery was patent and no reconstruction was needed. The postoperative course was uneventful, treatment with antiplatelets and antihypertensive drugs was initiated. The patient was discharged after ten days and at monthly follow-up the patient was in good condition. CT angiography was performed six months postoperative and the celiac trunk was patent but a small aneurysm had developed. Dissection of the celiac artery is uncommon and is rarely considered in the diagnosis of acute abdominal pain. The condition could be mistaken for a ruptured AAA. The condition may be underdiagnosed and it seems likely that more cases will be identified in the future as a result of the rapidly evolving vascular imaging modalities.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 055889945

Download citation: RISBibTeXText

Related references

Isolated Spontaneous Dissection of Celiac Artery with Splenic Infarction: Report of a Case. Ejves Extra 13(4): 58-59, 2007

Spontaneous dissection of celiac trunk with concurrent splenic artery dissection. Clinical and Experimental Emergency Medicine 2(4): 256-259, 2015

Epigastric and chest pain in celiac artery dissection: spontaneous isolated dissection of the celiac trunk. European Heart Journal Cardiovascular Imaging 17(3): 315, 2016

Spontaneous Celiac Artery Dissection Presenting With Splenic Infarction: A Case Report. Gastroenterology Research 11(5): 379-382, 2018

Case Report of Extensive Isolated Spontaneous Celiac Trunk Dissection After Liver Transplantation. Transplantation Proceedings 49(8): 1956-1959, 2017

Isolated Celiac and Splenic Artery Dissection: A Case Report and Review of the Literature. Case Reports in Vascular Medicine 2015: 194079, 2015

Conservative Management of Isolated Superior Mesenteric Artery and Celiac Trunk Dissection: A Case Report and Literature Review. Journal of Clinical and Diagnostic Research: Jcdr 10(11): Pd24-Pd26, 2016

A rare cause of epigastric pain: isolated spontaneous dissection of the celiac artery, a case report. Journal des Maladies Vasculaires 34(4): 275-278, 2009

Dissecting aneurysm of the hepatic artery caused by an isolated spontaneous celiac trunk dissection. Annals of Vascular Surgery 28(5): 1316.E7, 2014

Sudden death due to spontaneous rupture in splenic artery atypical dissection with features of vasculitis: case report and review of the literature. Forensic Science International 200(1-3): E1-E5, 2010

Isolated, spontaneous superior mesenteric and celiac artery dissection: case report and review of literature. Journal of Emergency Medicine 40(2): E21-E25, 2011

A unique case of isolated, spontaneous, symptomatic celiac trunk dissection. Sage Open Medical Case Reports 3: 2050313x14565423, 2015

Spontaneous celiac trunk dissection complicated by multiple visceral ischaemia: a case report. Annales Francaises d'Anesthesie et de Reanimation 32(4): e77-e78, 2013

Spontaneous dissection of the celiac trunk: a rare cause of abdominal pain--case report and review of the literature. Acta Gastro-Enterologica Belgica 76(3): 335-339, 2013

Spontaneous rupture of a splenic artery aneurysm with splenic epithelioid hemangioendothelioma: a case report. Journal of International Medical Research 47(2): 1059-1063, 2019