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Case Reports
. 2021 Apr 21;14(4):e240533.
doi: 10.1136/bcr-2020-240533.

Celiac artery aneurysm causing an acute abdomen

Rute Castelhano  1 , Khine Myat Win  2 , Sara Carty  3
Affiliations
Case Reports

Celiac artery aneurysm causing an acute abdomen

Rute Castelhano et al. BMJ Case Rep. .

Abstract

Abdominal pain is a very common presentation in the accident and emergency department. However, vasculitis is not the usual first differential diagnosis. This paper discusses a case of polyarteritis nodosa presenting with acute abdominal pain alone. Common surgical conditions were obviously considered, but they were not found to cause the patient's problems. We describe how investigations led to this diagnosis discussed in detail in this paper. It is important to remember that prompt recognition of unusual life-threatening conditions can lead to timely intervention.

Keywords: gastrointestinal surgery; vasculitis.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Stenosis of coeliac trunk at its origin and a dilatation of the coeliac artery measuring roughly 10 mm with inflammatory stranding around the vessel wall is pointed by the blue arrow.
Figure 2
Figure 2
3D CT scan view of stenosis of coeliac trunk at its origin with a dilation distally as well as splenic aneurysm.
Figure 3
Figure 3
Dissection flap inside the coeliac artery aneurysm is pointed by blue arrow.
Figure 4
Figure 4
Improving soft tissue around the coeliac axis.
Figure 5
Figure 5
Presence of a thrombus within the aneurysm on the coeliac artery.
See this image and copyright information in PMC

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