Spontaneous Dissection of the Celiac Trunk: Case Description and Literature Review
DOI:
https://doi.org/10.60591/crspmi.162Keywords:
Abdominal Pain/diagnostic imaging, Aortic Dissection/ diagnostic imaging, Celiac ArteryAbstract
Spontaneous dissection of the celiac trunk is a rare pathology, but its incidence has been increasing in recent years. The most common symptom is abdominal pain and the diagnosis is usually made by computed tomography. The etiology of the disease, its presentation and clinical evolution are still unclear. As it is an uncommon entity, there are no guidelines for treatment or follow-up, and its approach is based on case reports in the literature.
The authors present a case of spontaneous dissection of
the celiac trunk that occurred in a woman in her third decade of life, with no known risk factors and whose predominant symptom was abdominal pain. Under conservative treatment, namely anticoagulation, there was a favorable evolution.
With the description of this case, we intend to draw attention to the importance of recognizing spontaneous dissection of the celiac trunk in the differential diagnosis of abdominal pain.
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References
Schrijvers R, Van De Mierop F, De Schepper B, Sprengers D, Dero I, D'Archambeau O, et al. Spontaneous dissection of the celiac trunk: a rare cause of abdominal pain--case report and review of the literature. Acta Gastroenterol Belg. 2013;76:335-9.
Soares J, Matos E, Gomes S, Costa F, Pereira T, Portugal P. Disseção espontânea do tronco celíaco – a propósito de um caso clínico. Acta Radiol Port. 2014. 103: 57-60
Abugroun A, Natarajan A, Daoud H, Khalaf H. Spontaneous celiac artery dissection presenting with splenic infarction: a case report. Gastroenterol Res. 2018;11:379-82. doi: 10.14740/gr1065w.
Zhou F, Zheng Z, Pan Y. General features, management strategies, and outcomes of symptomatic spontaneous isolated celiac artery dissection. Front Surg. 2022;9:972276. doi: 10.3389/fsurg.2022.972276.
Galastri F, Nasser F, Affonso B, Amorim J, Travassos F. Disseção espontânea do tronco celíaco: qual a melhor abordagem terapêutica?. J Vasc Bras. 2013;12: 68-74.
Galastri FL, Cavalcante RN, Motta-Leal-Filho JM, De Fina B, Affonso BB, de Amorim JE, et al. Evaluation and management of symptomatic isolated spontaneous celiac trunk dissection. Vasc Med. 2015;20:358-63. doi: 10.1177/1358863X15581447.
Hoglund JR, Blackwell JH, Gibbs MA. Spontaneous celiac artery dissection. Am J Emerg Med. 2020;38:1545.e3-1545.e5. doi: 10.1016/j.
ajem.2020.04.041.
Hosaka A, Nemoto M, Miyata T. Outcomes of conservative management of spontaneous celiac artery dissection. J Vasc Surg. 2017;65:760-5.e1. doi: 10.1016/j.jvs.2016.09.058.
Pateman Aciu S, Petrochko J, Bassik N, Fisher J. Spontaneous isolated celiac and splenic artery dissection with splenic infarction. Radiol Case Rep. 2022;17:2085-91. doi: 10.1016/j.radcr.2022.03.060.
Kang SH, Park HS, Yoon CJ, Shin CS, Yoo KC, Lee T. Mid- to long-term outcomes in management of spontaneous isolated coeliac artery dissection (SICAD). Eur J Vasc Endovasc Surg. 2020;59:247-53. doi: 10.1016/j.ejvs.2019.09.510.
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Copyright (c) 2024 Rita Pinto Araújo, Alexandra Machado, Gisela Vasconcelos, Teresa Pereira, Andreia Tavares
This work is licensed under a Creative Commons Attribution 4.0 International License.
