Acute intramural haematoma of the coeliac artery.
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.
Kruse
H J
HJ
Department of Medicine Carl Gustav Carus, Division of Angiology, Technische Universität Dresden, Germany. hjkruse@gmx.de
Weise
M
M
Nuytinck
L
L
De Paepe
A
A
Schellong
S M
SM
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