Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 Nov 12;2023(11):rjad615.
doi: 10.1093/jscr/rjad615. eCollection 2023 Nov.

Coeliac artery avulsion secondary to high velocity blunt abdominal trauma: a case report

Tegan J Kay  1 , Zafreen Rahman  2 , Korana Musicki  2 , Noel Atkinson  2 , Katherine Martin  1
Affiliations
Case Reports

Coeliac artery avulsion secondary to high velocity blunt abdominal trauma: a case report

Tegan J Kay et al. J Surg Case Rep. .

Abstract

Coeliac artery (CA) injuries are an extremely rare subset of blunt abdominal trauma with a reported incidence of only 0.01%. Patterns of CA injury include intimal tear, dissection, thrombosis and pseudoaneurysm, with the most rare being complete CA avulsion. These complex injuries pose a treatment challenge due to rapid blood loss and anatomical difficultly in achieving proximal and multiple points of distal vascular control. To our knowledge, this case of CA avulsion from blunt polytrauma is only the 7th case reported in the literature. To assist in management, we report a case of blunt traumatic CA avulsion managed successfully with open ligation following endovascular balloon occlusion of the juxta-coeliac aorta for haemorrhage control.

Keywords: avulsion; coliac artery; trauma; vascular.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Sagittal CT slice demonstrating coeliac avulsion.
Figure 2
Figure 2
Axial CT slice demonstrating coeliac trunk avulsion with active bleeding into a large retroperitoneal haematoma.
Figure 3
Figure 3
Coronal CT slice demonstrating coeliac trunk avulsion with active bleeding into a large retroperitoneal haematoma.
Figure 4
Figure 4
Fluoroscopic image demonstrating endovascular balloon occlusion of aorta at the level of CA avulsion, superior to SMA and Bilateral Renal artery origins.
See this image and copyright information in PMC

References

    1. Muckart DJ, Pillay B, Hardcastle TC, Skinner DL. Vascular injuries following blunt polytrauma. Eur J Trauma Emerg Surg 2014;40:315–22. - PubMed
    1. Prichayudh S, Rassamee P, Sriussadaporn S. et al. Abdominal vascular injuries: blunt vs. penetrating. Injury 2019;50:137–41. - PubMed
    1. Asensio JA, Petrone P, Kimbrell B, Kuncir E. Lessons learned in the management of thirteen celiac axis injuries. South Med J 2005;98:462–6. - PubMed
    1. Cook Medical. Coda Balloon Catheter. 2023.
    1. Colonna AL, Enniss TM, Meredith JW, Hildreth AN. Celiac artery avulsion and right atrial rupture after blunt multisystem trauma. Am Surg 2010;76:E83–5. - PubMed

Publication types