Isolated spontaneous dissection of the celiac trunk in a patient with bicuspid aortic valve.
Isolated spontaneous dissection of celiac trunk is a rare entity. The spontaneous dissection of the visceral artery occurs without aortic dissection. The most consistent presenting symptom is acute onset abdominal pain. Complications consist of ischemia, aneurysm formation, and rupture. We report an exceptional case of an isolated spontaneous dissection of the celiac trunk which occurred in a 49 year old male with a previously undiagnosed bicuspid aortic valve (BAV). We also describe the classical appearance in different imaging modalities with a particular emphasis on multidetector computed tomography, and discuss the clinical manifestation and its relationship to BAV.
Zeina
Abdel-Rauf
AR
Department of Radiology, Hillel Yaffe Medical Center, Hadera, Israel. raufzeina3@hotmail.com
Nachtigal
Alicia
A
Troitsa
Anton
A
Admon
Gil
G
Avshovich
Nina
N
D015746:Abdominal Pain / Q000209:etiology; D000784:Aortic Dissection / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D000925:Anticoagulants / Q000627:therapeutic use; D001021:Aortic Valve / Q000002:abnormalities* / Q000000981:diagnostic imaging; D002445:Celiac Artery / Q000000981:diagnostic imaging; D017548:Echocardiography, Transesophageal; D017984:Enoxaparin / Q000627:therapeutic use; D006330:Heart Defects, Congenital / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D013256:Steroids / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000925:Anticoagulants; D017984:Enoxaparin; D013256:Steroids