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Published on: July 21, 2023
Spontaneous Isolated Celiac Artery and Superior Mesenteric Artery Dissections: A Rare Case
Sonay Aydin1, Elif Ergun1, Erdem Fatihoglu1
1Department of Radiology, Ministry of Health, Ankara Education and Research Hospital, Ankara, Turkey.
Background:
Arterial dissection is defined as the cleavage of the arterial wall by an intramural hematoma. Reports of dissection of the celiac and/or superior mesenteric artery are rare; as far as we know, only 24 cases of spontaneous isolated celiac trunk dissection, and 71 cases of spontaneous isolated superior mesenteric artery dissection have been reported.
Case Report:
The case presents a 48-year-old male with a sudden-onset epigastric pain. A Computed Tomography Angiography of the thoracoabdominal aorta was applied and dissections of both the celiac artery and SMA were determined. A conservative therapeutic approach was preferred and the patient was discharged with anticoagulant and antihypertensive therapy.
Conclusions:
Although rare, spontaneous isolated celiac artery and superior mesenteric artery dissections must be kept in mind in the differential diagnosis of the epigastric pain in the emergency room. Contrast-enhanced Computed Tomography Angiography examination is the method of choice in the diagnosis.
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