Isolated Celiac Artery Dissection Detected by Non-contrast CT

Isolated celiac artery dissection (ICAD) is a rare condition commonly detected using contrast-enhanced CT (CE-CT). We report the case of a middle-aged Asian man with a history of hypertension, ureterolithiasis, and tobacco use who presented with persistent abdominal pain. Non-contrast CT (Canon Medical Systems Corporation, Japan) revealed celiac artery dilation and perivascular fat stranding, raising the suspicion of ICAD, which was subsequently confirmed by CE-CT. Conservative management was successful. This case highlights the potential value of non-contrast CT findings as early indicators of ICAD, emphasizing the need for clinical vigilance and timely CE-CT in high-risk patients.