title: Acute intramural haematoma of the coeliac artery.
abstract: The report describes a previously healthy 24-year-old women presenting with acute abdominal pain following a hyperextension manoeuvre. The key finding of a continuous bruit with systolic and diastolic components in the epigastric region subsequently led to the diagnosis of an intramural haematoma of the coeliac artery, that caused a subtotal occlusion of the artery. The diagnosis was achieved by both colour-coded duplex sonography and magnetic resonance angiography. The case shows that a conservative management rather than operative reconstruction is justified in an oligo-symptomatic situation with no signs of end-organ damage as in this patient.
authors.affiliation: Department of Medicine Carl Gustav Carus, Division of Angiology, Technische Universität Dresden, Germany. hjkruse@gmx.de
authors.forename: H J
authors.initials: HJ
authors.lastname: Kruse
authors.forename: M
authors.initials: M
authors.lastname: Weise
authors.forename: L
authors.initials: L
authors.lastname: Nuytinck
authors.forename: A
authors.initials: A
authors.lastname: De Paepe
authors.forename: S M
authors.initials: SM
authors.lastname: Schellong
mesh_terms: D000208:Acute Disease; D000328:Adult; D001157:Arterial Occlusive Diseases / Q000175:diagnosis*; D002445:Celiac Artery / Q000293:injuries / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006406:Hematoma / Q000175:diagnosis*; D006801:Humans; D018810:Magnetic Resonance Angiography; D009131:Muscle, Smooth, Vascular / Q000473:pathology; D018615:Ultrasonography, Doppler, Color; D014949:Wounds, Nonpenetrating / Q000175:diagnosis