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. 2020 Aug;4(3):414-416.
doi: 10.5811/cpcem.2020.5.46906.

Spontaneous Isolated Celiac Artery Dissection: A Case Report

Clifford L Freeman  1 , Aaron J Lacy  1 , Aubrey Miner  1 , Devin M Rogers  1 , Austin T Smith  2 , Karan S Shah  3
Affiliations

Spontaneous Isolated Celiac Artery Dissection: A Case Report

Clifford L Freeman et al. Clin Pract Cases Emerg Med. 2020 Aug.

Abstract

Introduction: Abdominal pain is a common chief complaint that can represent a wide breadth of diagnoses, ranging from benign to life-threatening. As our diagnostic tools become more sophisticated, we are able to better identify more causes of potentially life-threatening diseases. One such disease that is relatively unfamiliar to clinicians is spontaneous isolated celiac artery dissection (SICAD).

Case report: We describe a case of a 46-year-old man who presented to our emergency department with a chief complaint of abdominal pain and was found to have a SICAD and was successfully treated with anticoagulation, antihypertensives, and observation.

Conclusion: It is important for emergency physicians to keep this potentially life-threatening condition in mind and to know the appropriate first steps once identified.

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Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image 1
Image 1
An axial image of a contrast-enhanced computed tomography angiogram showing a dissection flap in the celiac trunk (arrow).
Image 2
Image 2
A sagittal image of a contrast-enhanced computed tomography angiogram showing a dissection flap in the celiac trunk (arrow).
Image 3
Image 3
An axial image of a contrast-enhanced computed tomography angiogram showing a dissection flap in the common hepatic artery (arrow).
See this image and copyright information in PMC

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