Spontaneous celiac artery dissection case report and literature review.
Symptomatic spontaneous celiac artery dissection is a rare condition that is being detected more often with the use of advanced imaging techniques. There is no consensus as to whether surgical or endovascular treatment is more appropriate.We describe the case of a 41-year-old hypertensive woman who presented with the sudden onset of sharp, persistent, right-upper-quadrant abdominal and epigastric pain. Magnetic resonance angiography of the abdomen revealed celiac artery dissection, with a flap compressing the lumen approximately 17 mm from the artery's origin at the aorta. Because of the patient's persistent epigastric pain, endovascular celiac artery stent implantation was performed with the use of 2 overlapping balloon-expandable stents. Twelve months after the procedure, the patient remained asymptomatic, and the stents were patent. This case and others in the medical literature suggest that endovascular treatment can be feasible in symptomatic patients with isolated spontaneous celiac artery dissection.
['Obon-Dent|Mauricio|M|', 'Shabaneh|Bahaeddin|B|', 'Dougherty|Kathryn G|KG|', 'Strickman|Neil E|NE|']
D015746:Abdominal Pain D000328:Adult D000784:Aneurysm, Dissecting D000800:Angioplasty, Balloon D002445:Celiac Artery D005260:Female D006801:Humans D018810:Magnetic Resonance Angiography D011237:Predictive Value of Tests D015607:Stents D014057:Tomography, X-Ray Computed D016896:Treatment Outcome
stents Aneurysm, dissecting/diagnosis/radiography/therapy angiography/methods anticoagulants/therapeutic use celiac artery/injuries/pathology/radiography rupture, spontaneous/diagnosis/therapy vascular surgical procedures