A Case of Isolated Celiac Artery Dissection Accompanied by Splenic Infarction Detected by Ultrasonography in the

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Kazumasa Emori1, Nobuhiro Takeuchi1, Junichi Soneda1

  • 1Department of Cardiovascular Surgery, Kobe Tokushukai Hospital, 1-3-10 Kamitakamaru, Tarumi-ku, Kobe-shi, Hyogo 655-0017, Japan.

Case Reports in Cardiology
|May 6, 2016
PubMed

Insights

Spontaneous isolated celiac artery dissection (SICAD) can cause splenic infarction and severe back pain. Prompt diagnosis and blood pressure management led to symptom resolution and artery improvement in this case.

Area of Science:

  • Vascular Surgery
  • Diagnostic Imaging
  • Emergency Medicine

Background:

  • Spontaneous isolated celiac artery dissection (SICAD) is a rare condition.
  • It can lead to serious complications such as splenic infarction.
  • Prompt diagnosis and management are crucial.

Purpose of the Study:

  • To report a case of SICAD presenting with splenic infarction and severe back pain.
  • To highlight the role of ultrasonography in emergency diagnosis.
  • To discuss the management and outcomes of SICAD.

Main Methods:

  • Case report of a 46-year-old male with sudden onset left-sided back pain.
  • Diagnostic imaging included ultrasonography (USG) and contrast-enhanced computed tomography (CT).
  • Management involved antihypertensive medication (nicardipine and carvedilol).

Main Results:

  • Diagnosis of spontaneous isolated celiac artery dissection (SICAD) with splenic infarction.
  • Successful symptom management and artery improvement with blood pressure control.
  • Ultrasonography demonstrated splenic infarction and arterial occlusion/dissection.

Conclusions:

  • Ultrasonography is a valuable tool for diagnosing SICAD in emergency settings.
  • Antihypertensive therapy is effective in managing SICAD and its complications.
  • SICAD with splenic infarction can be successfully treated, with potential for arterial healing.

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