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Spontaneous Celiac and Splenic Artery Dissection.
Hiroshima Journal of Medical Sciences
|July 10, 2018
Summary
Splanchnic artery dissection, though rare, can cause splenic impairment. Early antithrombotic treatment may prevent complications like organ infarction.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Radiology
Background:
- Splanchnic artery dissection, independent of aortic disease, is exceptionally uncommon.
- This case highlights splenic artery dissection leading to splenic circulatory compromise.
Observation:
- A 55-year-old man presented with acute flank pain.
- Contrast-enhanced CT revealed dissection of the celiac and splenic arteries, causing splenic malperfusion.
- The patient had a history of sleep apnea and took aspirin for cerebral lacunar infarcts.
Findings:
- Conservative management including rest, blood pressure control, and aspirin was initiated.
- Follow-up CT demonstrated restored arterial caliber and resolution of the false lumen.
- The patient experienced a full recovery without sequelae.
Implications:
- Splanchnic artery dissection is a rare but critical emergency requiring consideration even with nonspecific symptoms.
- Early antithrombotic therapy may be beneficial in preventing thrombotic complications such as organ infarction and aneurysm formation.
- This case underscores the importance of prompt diagnosis and management of splanchnic artery dissection.
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