Spontaneous Isolated Dissection of the Celiac Artery: CT Findings in Adults

D'Ambrosio, Nicholas; Friedman, Barry; Siegel, David; Katz, Douglas S.; Newatia, Amit; Hines, John J.

doi:10.2214/ajr.06.0315

Cited by 106 publications

(120 citation statements)

References 11 publications

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“…1,5,6 Spontaneous arterial dissection is more common among men (at a proportion of five men to each woman) and the mean age of patients is approximately 55 years. 3 Arterial dissection is described as isolated when there is no related aortic dissection and is more often observed in the renal and carotid arteries, but rarely seen in visceral arteries. 4,5 The most common types of extra-aortic dissection, in descending order of frequency, are: renal artery, coronary artery, cerebral artery, carotid artery, vertebral artery and visceral artery dissections.…”

Section: Casementioning

confidence: 99%

“…2 Only 55 cases of spontaneous dissection of visceral arteries had been reported up to 2007. 3 Of these, just 11 cases of spontaneous dissection of the celiac trunk had been reported since 1959. 3 Isolated spontaneous dissection of the celiac trunk is a rare entity.…”

Section: Casementioning

confidence: 99%

“…3 Of these, just 11 cases of spontaneous dissection of the celiac trunk had been reported since 1959. 3 Isolated spontaneous dissection of the celiac trunk is a rare entity. The majority of these cases have been observed in young patients and were managed using surgery or conservative treatment.…”

Section: Casementioning

confidence: 99%

“…The exact cause of spontaneous dissection of visceral arteries is unknown, but arterial hypertension has classically been considered a predisposing factor. [2][3][4][5] Abdominal pains are the most common symptom in people who have suffered spontaneous dissection of the celiac trunk, but patients may also exhibit nonspecific symptoms such as weight loss. 1,5 As imaging methods have continually improved, diagnosis of this condition has been facilitated and it should be taken into account during differential diagnosis of epigastric abdominal pain.…”

Section: Introductionmentioning

confidence: 99%

“…1,4 In view of the rarity of the condition, the ideal therapeutic management for dissection of the celiac trunk remains controversial. [1][2][3][4][5] There are three possible treatment options available: conservative clinical treatment, surgical revascularization or endovascular treatment. 1 The objective of this article is to describe three cases of spontaneous dissection of the celiac trunk and to conduct a review of the current literature on the subject.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous dissection of the celiac trunk: report of three cases and review of the literature

2014

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Spontaneous dissection of the celiac trunk is quite an uncommon medical condition, with few case reports in the medical literature. Sudden epigastric abdominal pain is the most common complaint reported by patients, but due to the rarity of this disease in clinical practice and the nonspecific nature of its symptoms, a high degree of clinical suspicion is needed to establish diagnosis. However, improvements in imaging techniques are facilitating diagnosis of this clinical entity, increasing its detection rate. The ideal treatment has not yet been fully established in the literature and the available therapeutic strategies are conservative medical treatment, surgical revascularization or endovascular intervention. In this article we report on three cases of spontaneous dissection of the celiac trunk and conduct a review of the literature on this disease Keywords: dissection; acute pain; celiac artery. ResumoA dissecção espontânea do tronco celíaco é uma condição médica incomum, com poucos relatos de casos publicados na literatura médica. A dor abdominal súbita no epigástrio é o sintoma mais frequentemente manifestado pelos pacientes; porém, devido à raridade dessa doença na prática clínica e à inespecificidade de seus sintomas, é necessário um alto grau de suspeição para o estabelecimento do seu diagnóstico. Nesse contexto, o aperfeiçoamento das técnicas de exames de imagem vem possibilitando o diagnóstico desta entidade clínica com maior facilidade, aumentando a sua taxa de detecção. O tratamento ideal ainda não está completamente bem estabelecido na literatura, sendo que as estratégias terapêuticas disponíveis são o tratamento médico conservador, a revascularização cirúrgica e a intervenção endovascular. Neste artigo, nós relatamos três casos de dissecção espontânea do tronco celíaco e realizamos uma revisão de literatura sobre esta doença.Palavras-chave: dissecção; dor aguda; artéria celíaca.

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Section: Casementioning

confidence: 99%

Section: Casementioning

confidence: 99%

Section: Casementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Spontaneous dissection of the celiac trunk: report of three cases and review of the literature

2014

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Spontaneous isolated left gastric artery dissection: unusual visceral artery dissection

Ichiba¹,

Naito²,

Nagata³

et al. 2016

Acute Medicine & Surgery

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Case: A 51-year-old woman visited our emergency department complaining of acute onset of upper abdominal pain and nausea.Abdominal contrast-enhanced computed tomography showed an isolated left gastric artery dissection and pseudoaneurysm. After conservative management for 6 days, endovascular embolization was carried out for treatment of the pseudoaneurysm. Spontaneous dissection of a visceral artery rarely occurs in the case of a left gastric artery.Outcome: Contrast-enhanced computed tomography is essential to make an accurate diagnosis and establish a therapeutic strategy. Conclusion:We should consider the occurrence of minor visceral artery dissection if a patient has acute abdominal pain without other obvious causes.

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Man with hypertension and abdominal pain

Pooler,

Reiter,

Colla

2024

JACEP Open

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Spontaneous Isolated Dissection of the Celiac Artery: CT Findings in Adults

Abstract: Although once believed rare, isolated spontaneous celiac artery dissection should be considered in the diagnosis of acute abdominal pain, especially in middle-aged adults.

Cited by 106 publications

References 11 publications

Spontaneous dissection of the celiac trunk: report of three cases and review of the literature

Spontaneous dissection of the celiac trunk: report of three cases and review of the literature

Spontaneous isolated left gastric artery dissection: unusual visceral artery dissection

Man with hypertension and abdominal pain

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