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Spontaneous isolated celiac artery dissection
Tuba Cimilli Ozturk1, Serpil Yaylaci, Onur Yesil
1Umraniye Training and Research Hospital Emergency Medicine Clinic, Istanbul, Turkey.
Insights
Spontaneous isolated celiac artery dissection is a rare cause of epigastric discomfort. This case highlights the importance of considering rare vascular emergencies in dyspepsia diagnosis.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
Background:
- Dyspepsia is a common emergency department presentation.
- Aortic dissection and aneurysm are considered in differential diagnoses for persistent epigastric symptoms.
Observation:
- A case of spontaneous isolated celiac artery dissection was identified.
- The dissection involved only the main celiac artery without branch vessel compromise or visceral damage.
Findings:
- Computed tomography scans confirmed the spontaneous isolated celiac artery dissection.
- This rare condition presented without typical signs of branch vessel involvement.
Implications:
- Highlights a rare cause of epigastric pain.
- Emphasizes the utility of advanced imaging in diagnosing uncommon vascular emergencies.
Abstract:
Dyspepsia with mild, stabbing epigastric discomfort without history of trauma is a very common symptom that emergency physicians see in their daily practice. Vascular emergencies, mostly the aortic dissection and aneurysm, are always described in the differential diagnosis with persistent symptoms. Isolated celiac artery dissection occurring spontaneously is a very rare diagnosis. The involvement of branch vessels is generally observed and patients show various clinical signs and symptoms according to the involved branch vessel. Here we are presenting a case with spontaneous isolated celiac artery dissection, without any branch vessel involvement or visceral damage, detected by computed tomography scans taken on admission.
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