Isolated Dissection of the Celiac Artery after Blunt Trauma: A Case Report and Review of Literature

Abstract

Traumatic dissection of the celiac artery without aortic dissection is a rare event. Here we describe two cases of celiac artery dissection after blunt abdominal trauma managed conservatively without surgical or endovascular intervention.

Endovascular Stenting in a Rare Case of Multiple Spontaneous Visceral Arterial Dissections

“…Furthermore, isolated celiac artery injury without concomitant aortic injury is extremely rare in the setting of blunt trauma, with a review of the literature only demonstrating 8 cases. 3…”

Traumatic dissection of the coeliac artery and splenic injury following blunt trauma

“…Coeliac artery dissection following blunt trauma is an extremely rare occurrence, with fewer than 10 cases described in the literature 1–6. The superior mesentery artery is the most common location for blunt abdominal vascular injury, while coeliac artery injury is uncommon, accounting for 1%–2% of vascular lesions 1 5.…”

“…Abdominal pain is a common symptom of coeliac artery dissection and often begins several days after the initial injury 6. The initial trauma likely resulted in mural injury without radiological abnormalities.…”

“…Repair is generally necessary when the aneurysm is over 2–3 cm in size. Most aneurysmal changes after traumatic coeliac artery dissection occur within 2 months,7 but they have also been detected as late as the fourth year,8 which highlights the importance of long-term follow-up for patients with coeliac artery dissection 6…”

“…Coeliac artery dissection following blunt trauma is an extremely rare occurrence, with fewer than 10 cases described in the literature 1–6. Concurrent splenic injury and coeliac artery dissection following blunt trauma has not previously been reported in the literature.…”