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Isolated Celiac Trunk Dissection as a Cause of Abdominal Pain

Sergio L Jaramillo Escobar¹, Nicolás D Rosales Parra², René F Timarán Rodríguez²

¹General Surgery, University of Antioquia, Medellín, COL.

|November 26, 2024

Abstract:

Isolated celiac trunk dissection is a rare condition involving dissection of this artery without aortic or other visceral artery involvement. We present an atypical case of a 46-year-old male smoker, hemodynamically stable upon admission, who experienced severe left hypochondrium pain. Imaging studies revealed narrowed flow in the celiac trunk and multiple splenic infarctions. After diagnosing isolated celiac trunk dissection, conservative management was successfully implemented. Surgical interventions are reserved for patients with hemodynamic instability, extensive ischemic involvement, or failure of conservative management.

Keywords:

abdominal pain blood vessel dissection celiac artery conservative management splenic infarction

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