title: Spontaneous dissection of the celiac artery: a case report.
abstract: Spontaneous dissection of visceral arteries is rare in the absence of concurrent dissection of the aorta, iatrogenic injury from instrumentation, or trauma. We describe a spontaneous dissection of the celiac artery that was identified by computed tomographic scan in an otherwise healthy man with acute onset abdominal pain and no identifiable causes of dissection. The patient was successfully managed medically. Although endovascular treatment or surgical intervention is the procedure of choice for complicated cases, medical management with close observation is an acceptable management strategy for stable, uncomplicated cases of spontaneous celiac artery dissection.
authors.affiliation: Department of Surgery, The University of Kansas School of Medicine-Wichita, Wichita, KS 67214, USA.
authors.forename: Jason D
authors.initials: JD
authors.lastname: Woolard
authors.forename: Alex D
authors.initials: AD
authors.lastname: Ammar
mesh_terms: D015746:Abdominal Pain / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D000701:Analgesics, Opioid / Q000627:therapeutic use; D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D000925:Anticoagulants / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D002445:Celiac Artery / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D017984:Enoxaparin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008614:Meperidine / Q000627:therapeutic use; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D013157:Splenic Artery / Q000000981:diagnostic imaging*; D013159:Splenic Infarction / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D000701:Analgesics, Opioid; D000925:Anticoagulants; D017984:Enoxaparin; D010975:Platelet Aggregation Inhibitors; D014859:Warfarin; D008614:Meperidine; D001241:Aspirin