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Pancreatitis Secondary to Celiac Trunk Dissection

Tyler P Black1, Jorge V Obando1, Rebecca A Burbridge1

  • 1Department of Internal Medicine, Division of Gastroenterology, Duke University Medical Center, Durham, NC.

ACG Case Reports Journal
|July 10, 2015
PubMed

Insights

Isolated celiac trunk dissection is a rare vascular condition. This case highlights its potential as an unrecognized complication of pancreatitis, successfully managed conservatively.

Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Abdominal Imaging

Background:

  • Visceral artery dissection is uncommon, with the superior mesenteric artery most frequently involved.
  • Isolated celiac trunk dissection is exceptionally rare, with limited documented cases.
  • Pancreatitis can be associated with visceral artery pathologies.

Observation:

  • A 51-year-old male presented with abdominal pain.
  • Diagnosis revealed celiac trunk dissection with secondary pancreatitis and pancreatic infarction.
  • Conservative medical management led to symptom improvement.

Findings:

  • Celiac trunk dissection can occur as a complication of pancreatitis.
  • Pancreatic infarction is a potential consequence of celiac trunk dissection.
  • Conservative treatment may be effective for celiac trunk dissection.

Implications:

  • Highlights celiac trunk dissection as a potential, often unrecognized, complication of pancreatitis.
  • Suggests a conservative management approach may be suitable for select cases.
  • Emphasizes the importance of considering vascular complications in pancreatitis management.

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