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Updated: May 11, 2026

Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation
Published on: September 22, 2023
A rare cause of epigastric pain in a middle-aged man
Rannie Nahas1, Thomas Pain, Peter Goulden
1Department of Diabetes and Endocrinology, Maidstone Hopsital, Maidstone and Tunbridge Wells NHS Trust, Kent, UK. rannienahas@doctors.org.uk
Abstract:
A 50-year-old man presents to the emergency department with epigastric pain and is found to have severe hypertension on clinical examination. After admission to hospital, further investigation with CT imaging reveals the patient has an uncomplicated splenic artery dissection. Conservative management is chosen as advised by a vascular surgery team and the patient was subsequently discharged from hospital with warfarin anticoagulation and antihypertensive medicines. This case report aims to build a profile of a patient who may present with splenic artery dissection and details our recommended management plan.
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