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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