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Multimodality Diagnosis of Mesenteric Ischemia

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Spontaneous Isolated Celiac Artery Dissection: A Case Report.

Clifford L Freeman¹, Aaron J Lacy¹, Aubrey Miner¹

¹Vanderbilt University Medical Center, Department of Emergency Medicine, Nashville, Tennessee.

Clinical Practice and Cases in Emergency Medicine

|September 14, 2020

Summary

This summary is machine-generated.

Spontaneous isolated celiac artery dissection (SICAD) is a rare cause of abdominal pain. This case report highlights successful management with anticoagulation, antihypertensives, and observation.

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Area of Science:

Vascular Surgery
Emergency Medicine
Radiology

Background:

Abdominal pain is a frequent emergency department complaint with diverse etiologies.
Spontaneous isolated celiac artery dissection (SICAD) is an underrecognized cause of severe abdominal pain.
Advanced diagnostic imaging aids in identifying rare vascular pathologies.

Purpose of the Study:

To present a case of spontaneous isolated celiac artery dissection (SICAD).
To describe the successful conservative management of SICAD.
To emphasize the importance of considering SICAD in the differential diagnosis of abdominal pain.

Main Methods:

Case report of a 46-year-old male presenting with abdominal pain.
Diagnosis of SICAD confirmed via advanced imaging.
Treatment involved anticoagulation, antihypertensives, and close observation.

Main Results:

The patient with SICAD experienced a successful outcome with conservative management.
No surgical intervention was required.
The patient was discharged in stable condition.

Conclusions:

Emergency physicians must consider SICAD in patients with unexplained abdominal pain.
Early recognition and appropriate management are crucial for favorable outcomes in SICAD.
Conservative treatment strategies can be effective for SICAD.