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Spontaneous isolated left gastric artery dissection: unusual visceral artery dissection
Toshihisa Ichiba1, Hiroshi Naito1, Takeshi Nagata1
1Department of Emergency Medicine Hiroshima City Hospital Hiroshima Japan.
Case:
A 51-year-old woman visited our emergency department complaining of acute onset of upper abdominal pain and nausea. Abdominal contrast-enhanced computed tomography showed an isolated left gastric artery dissection and pseudoaneurysm. After conservative management for 6 days, endovascular embolization was carried out for treatment of the pseudoaneurysm. Spontaneous dissection of a visceral artery rarely occurs in the case of a left gastric artery.
Outcome:
Contrast-enhanced computed tomography is essential to make an accurate diagnosis and establish a therapeutic strategy.
Conclusion:
We should consider the occurrence of minor visceral artery dissection if a patient has acute abdominal pain without other obvious causes.
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