Dissecting Aneurysm of the Celiac Trunk: A Case Report

The natural history of splanchnic artery aneurysms and outcomes after operative intervention

“…Nearly 15% of the celiac artery aneurysms in the current study were associated with either extension of an aortic dissection or a primary dissection of the celiac axis, which has been described in previous case reports. 21,22 In the current study, 10 celiac artery aneurysms (12.8%) were thought to occur as a result of median arcuate ligament compression, which also has been described previously in the literature. 23 Graham et al 20 have previously recommended that surgical intervention be pursued for all asymptomatic celiac artery aneurysms in patients who do not present an inordinate operative risk.…”

Outcomes of conservative management of spontaneous celiac artery dissection

“…Treatment is required if the diameter of the CA aneurysm reaches 2 to 3 cm. 2,3,19,36 In previous reports, aneurysmal degeneration requiring surgical or endovascular intervention was observed #1 or 2 months after the initial symptom, or at the fourth year of followup. 2,5,12,29 Therefore, follow-up imaging tests should initially be performed at 1 month after the first episode and every 3 to 12 months thereafter for a long period.…”

“…14,30 Open surgical interventions in the chronic phase were performed in seven patients because of aneurysm formation. 3,5,9,12,14,36,37 Revascularization of the CA or its branches, with or without CA resection, was performed in seven patients, and ligation of the SA was performed in one patient.…”

Endovascular Treatment of a Dissected Celiac Trunk Aneurysm Complicated with Consequent Pseudoaneurysm: Primary Treatment and Treatment Relapse after 5 Years

“…In approximately 40% of the cases the pathology is polidistrectual and in 20% of the cases is associated with abdominal aorta aneurysm [6]. …”