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Aneurysm I: Introduction01:30

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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Spontaneous Isolated Symptomatic Celiac Artery Dissection: A Case Report.

George S Zacharia1, Anandu M Anto1, Faryal Altaf1

  • 1Internal Medicine, BronxCare Health System, Bronx, USA.

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|July 15, 2025
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Summary
This summary is machine-generated.

Celiac artery dissection, a rare vascular condition, can cause pancreatitis and hepatitis due to reduced blood flow. Diagnosis uses CT angiography, with treatment options including medical management or interventions.

Keywords:
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Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Diagnostic Imaging

Background:

  • The celiac artery (celiac trunk) supplies vital organs including the stomach, liver, spleen, pancreas, and duodenum.
  • Arterial dissection, a tear in the artery wall, is a critical condition, though visceral artery dissections are rare.
  • Spontaneous celiac artery dissection is an uncommon vascular disease, often incidentally found on imaging.

Observation:

  • Patients with celiac artery dissection are frequently asymptomatic but can present with acute abdominal pain.
  • A dissection of the celiac trunk can compromise blood supply to the pancreas, liver, and stomach, potentially causing ischemia, inflammation, and infarction.
  • This case highlights an uncommon presentation of celiac artery dissection associated with pancreatitis and hepatitis, likely due to ischemia.

Findings:

  • Diagnosis of celiac artery dissection is confirmed using contrast-enhanced computerized tomography (CT) with angiography.
  • While rare, celiac artery dissection can lead to significant end-organ ischemia and inflammation.
  • Iatrogenic arterial dissection, particularly from endovascular treatments, is an emerging concern.

Implications:

  • Prompt diagnosis and management of celiac artery dissection are crucial to prevent severe complications.
  • Treatment strategies include medical management, endovascular stenting, or surgical reconstruction for symptomatic cases.
  • Understanding the potential link between celiac artery dissection and visceral organ inflammation is vital for clinical practice.