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A Complicated Entity: Acute Celiac Artery Dissection with Resultant Pancreatitis, Duodenitis, and Cholecystitis
Graham T Endler1, Karleigh R Curfman1, Jason H Hwang1
1Duke LifePoint Conemaugh Memorial Medical Center, Johnstown PA 15905, USA.
Insights
Isolated celiac artery dissection is a rare vascular emergency. This case highlights potential ischemic complications in abdominal organs, emphasizing the need for defined management guidelines for this unique pathology.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Emergency Medicine
Background:
- Arterial dissection is a known vascular condition.
- Visceral arterial dissection is rare, with isolated celiac artery dissection being exceptionally uncommon.
- Undefined management guidelines exist for isolated celiac artery dissection.
Observation:
- A 71-year-old male presented with abdominal pain.
- The patient was diagnosed with an acute celiac artery dissection.
- The dissection likely led to ischemic duodenitis and possibly acute pancreatitis and cholecystitis.
Findings:
- Acute celiac artery dissection can cause severe ischemia to multiple intra-abdominal structures.
- The case illustrates the potential for significant visceral organ damage.
- This presentation underscores the rarity and diagnostic challenges of celiac artery dissection.
Implications:
- Reporting this unique case may contribute to understanding celiac artery dissection.
- Further research is needed to establish clear management protocols.
- Early recognition and intervention are crucial for patients with suspected visceral arterial dissection.
Abstract:
Arterial dissection is a well-recognized pathology often seen in Vascular Surgery offices and Emergency Departments alike; however, visceral arterial dissection is an extremely rare, small subset of this entity. With that, an isolated celiac artery dissection as presented within this report is an exceptionally unique pathology that has scarcely been reported, and due to this, management guidelines are undefined. Given the viscera supplied by the celiac artery, many intra-abdominal structures are at risk for ischemia when damage to the celiac artery occurs, potentially witnessed by this report. Due to the exclusivity of this pathology, we are compelled to report the case of a 71-year-old male who presented with complaints of abdominal pain and was found to have an acute celiac artery dissection, which likely resulted in severe ischemic duodenitis, as well as possibly acute pancreatitis, and questionable influence on cholecystitis.
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