Celiac artery dissection in polycystic kidney disease

Area of Science:

• Vascular Surgery
• Nephrology
• Gastroenterology

Background:

• Autosomal-dominant polycystic kidney disease (ADPKD) is a common genetic disorder.
• Complications of ADPKD typically involve the kidneys, but can affect other organs.
• Celiac artery dissection is a rare but serious vascular emergency.

Purpose of the Study:

• To highlight the rare complication of celiac artery dissection in ADPKD patients.
• To emphasize the importance of differentiating celiac artery dissection from other causes of abdominal pain in ADPKD.

Main Methods:

• Case review of ADPKD patients presenting with acute abdominal pain.
• Review of diagnostic imaging (e.g., CT angiography) for vascular abnormalities.
• Differential diagnosis considerations for abdominal pain in ADPKD.

Main Results:

• Identified a rare instance of celiac artery dissection in an ADPKD patient.
• Acute-onset abdominal pain in ADPKD necessitates exclusion of aortic and major branch dissections.
• Celiac artery dissection presents a diagnostic challenge in the context of ADPKD.

Conclusions:

• Celiac artery dissection is an uncommon but critical complication to consider in ADPKD patients with acute abdominal pain.
• Vascular imaging is crucial for accurate diagnosis and timely management.
• Early differentiation between ADPKD-related abdominal pain and dissection is vital for patient outcomes.