SPONTANEOUS ISOLATED COELIAC ARTERY DISSECTION, MIMICKING THORACIC AORTIC DISSECTION: A CASE REPORT
No. 25 (2017), Case reports
No. 25 (2017)

SPONTANEOUS ISOLATED COELIAC ARTERY DISSECTION, MIMICKING THORACIC AORTIC DISSECTION: A CASE REPORT

Case reports
Published 2021-04-10
Pourya POURYAHYA
1. Casey hospital, Emergency Department, Program of Emergency Medicine, Monash Health, Melbourne, Australia 2. Monash Emergency Research Collaborative, Program of Emergency Medicine, Monash Health, Melbourne, Australia 3. Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia
A Meyer
1. Casey hospital, Emergency Department, Program of Emergency Medicine, Monash Health, Melbourne, Australia 2. Monash Emergency Research Collaborative, Program of Emergency Medicine, Monash Health, Melbourne, Australia
JE Mohotti
Monash Emergency Research Collaborative, Program of Emergency Medicine, Monash Health, Melbourne, Australia
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Keywords

Aneurysm
angiography
anticoagulant therapeutic use
celiac artery injuries pathology radiography
rupture
stents
vascular surgical procedure

How to Cite

POURYAHYA, P. ., Meyer , A., & Mohotti , J. (2021). SPONTANEOUS ISOLATED COELIAC ARTERY DISSECTION, MIMICKING THORACIC AORTIC DISSECTION: A CASE REPORT. Mediterranean Journal of Emergency Medicine, (25), 35-37. Retrieved from http://mjemonline.com/index.php/mjem/article/view/67
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Abstract

Aortic dissection is a well-known differential diagnosis for thoracic back pain radiating to the chest. Dissection of a visceral artery is a rare condition which normally presents with ab-dominal pain.

We describe the case of a 53-year-old hypertensive man who presented with sudden onset of sharp inter-scapular back and central chest pain without any abdominal discomfort. This pain subsided after a short period but did not completely resolve. Computerized tomography (CT) angiogram with working diagnosis of thoracic artery dissection was performed. This revealed isolated celiac artery dissection. Patient had persistent hypertension and mild thoracic back pain. He subsequently was admitted to the hospital for blood pressure management and monitoring.

This case, unlike other cases in medical literatures, suggests that coeliac artery dissection can present with thoracic back/chest pain and can be managed conservatively.

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References

Nordanstig J, Gerdes H, Kocys E. Spontaneous isolated dissection of the celiac trunk with rupture of the proximal splenic artery: A case report. Eur J Vasc Endovasc Surg 2009; 37:194-7.

Obon-Dent M, Shabaneh B, Dougherty KG, Strickman NE. Spontaneous celiac artery dissection case report and literature review. Tex Heart Inst J 2012; 39:703-6.

DiMusto PD, Oberdoerster MM, Criado E. Isolated celiac artery dissection. J Vasc Surg 2015; 61:972-6.

D’Ambrosio N, Friedman B, Siegel D, Katz D, Newatia A, Hines J. Spontaneous isolated dissection of the celiac artery: CT findings in adults. AJR Am J Roentgenol 2007; 188:W506-W11.

Aydin S, Ergun E, Fatihoglu E, Durhan G, Kosar PN. Spontaneous isolated celiac artery and superior mesenteric artery dissections: A rare case. Pol J Radiol 2015; 80:470-2.

Takayama Y, Takao M, Inoue T, Yoshimi F, Koyama K, Nagai H. Isolated spontaneous dissection of the celiac artery: Report of two cases. Ann Vasc Dis 2014; 7:64-7.