+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A Case of Spontaneous Isolated Celiac Artery Dissection with Pseudoaneurysm Formation



A Case of Spontaneous Isolated Celiac Artery Dissection with Pseudoaneurysm Formation



Cureus 9(8): E1616



Spontaneous isolated celiac artery dissection is a rare disease and patients without evidence of significant complications often resolve with medical therapy alone; however, the extension of the dissection can lead to more serious complications including aneurysmal dilatation, complete occlusion, and rupture of a visceral artery. In these patients, optimal management has not yet been clearly defined and treatment primarily depends on clinical presentation and lesions identified on imaging studies. This case report demonstrates the conservative management of spontaneous celiac artery dissection. A 49-year-old male presented to our emergency department with acute and persistent abdominal pain. A contrast-enhanced computed tomogram (CT) of abdomen showed a pseudoaneurysm involving the ostium of the celiac artery with focal dissection, with no evidence of thrombosis or infarction to the visceral organs. Ultrasound studies demonstrated a prominent but patent celiac artery with adequate distal perfusion. Therefore, conservative medical management with antiplatelet therapy was initiated in our patient. Follow-up repeat ultrasound three weeks following discharge showed no evidence of dissection flap, stenosis, thrombosis or increase in the size of the aneurysm. This case report demonstrates that conservative medical management with antiplatelet therapy can be sufficient in treating spontaneous isolated celiac artery dissection with pseudoaneurysm formation. We suggest endovascular or surgical intervention should be reserved for patients who present with hemodynamic instability, or other serious complications, such as aneurysm rupture or visceral infarction.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 059306002

Download citation: RISBibTeXText

PMID: 29104834


Related references

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

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

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

Spontaneous coronary artery dissection with pseudoaneurysm formation diagnosed by intravascular ultrasound: a case report. Echocardiography 21(2): 153-157, 2004

Spontaneous isolated dissection of the celiac trunk with rupture of the proximal splenic artery: a case report. European Journal of Vascular and Endovascular Surgery 37(2): 194-197, 2009

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

Spontaneous isolated celiac artery dissection. Journal of Research in Medical Sciences 16(5): 699-702, 2011

Isolated spontaneous dissection of the celiac artery. La Revue du Praticien 65(7): 933, 2015

Isolated spontaneous celiac artery dissection. Puerto Rico Health Sciences Journal 34(3): 174, 2015

Endovascular treatment of isolated spontaneous celiac artery dissection. Vascular 20(2): 118-120, 2012

Spontaneous isolated dissection of the celiac artery: CT findings in adults. Ajr. American Journal of Roentgenology 188(6): W506-W511, 2007

Isolated spontaneous dissection of the celiac artery: report of two cases. Annals of Vascular Diseases 7(1): 64-67, 2014

Isolated spontaneous celiac artery dissection in a 47-year-old man with von Willebrand disease. Texas Heart Institute Journal 41(3): 344-345, 2014

A case of spontaneous dissection of the cervical carotid artery with pseudoaneurysm. No to Shinkei 57(9): 791-794, 2005

Spontaneous coronary artery dissection and pseudoaneurysm: a case report. American Journal of Emergency Medicine 32(2): 195.E3-4, 2014