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Spontaneous celiac artery dissection and its management
Sandeep Vaidya1, Manjiri Dighe
1University of Washington Medical Center, Department of Interventional Radiology, Seattle, WA, USA.
Insights
Spontaneous celiac artery dissection is rare, often asymptomatic, and typically diagnosed incidentally. This case highlights imaging and management strategies for this uncommon vascular event.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Diagnostic Imaging
Background:
- Spontaneous visceral artery dissection is uncommon with variable outcomes.
- Superior mesenteric artery is most frequently affected; celiac artery dissection is rare.
- Predisposing factors include vascular disease, hypertension, and pregnancy.
Purpose of the Study:
- To present a case of spontaneous celiac artery dissection.
- To review current literature on imaging findings.
- To discuss management strategies for celiac artery dissection.
Main Methods:
- Case report of a 65-year-old male.
- Literature review of spontaneous celiac artery dissection.
- Analysis of imaging findings and treatment outcomes.
Main Results:
- The patient presented with spontaneous celiac artery dissection.
- Literature review identified limited cases of isolated celiac artery dissection.
- Discussion of diagnostic imaging modalities and therapeutic options.
Conclusions:
- Spontaneous celiac artery dissection requires careful diagnostic evaluation.
- Management strategies should be individualized based on clinical presentation and imaging.
- Further research is needed to elucidate optimal treatment pathways.
Abstract:
Spontaneous visceral artery dissection is an uncommon event with an unpredictable natural history with superior mesenteric artery being the most common affected artery. It is most often asymptomatic and usually diagnosed at autopsy. Pre-disposing factors are not specific but have been suggested to be pre-existing vascular disease, hypertension and pregnancy. Spontaneous resolution, definitive occlusion of the artery, and formation of an aneurysm with associated complications are some other possible outcomes. Isolated dissection of the celiac artery (CA) is rare and there are only a few cases reported in the literature. We present a case of a 65 year old male with spontaneous celiac artery dissection and provide a review of the current literature about imaging findings and management of this entity.
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