title: Spontaneous celiac artery dissection case report and literature review.
abstract: Symptomatic spontaneous celiac artery dissection is a rare condition that is being detected more often with the use of advanced imaging techniques. There is no consensus as to whether surgical or endovascular treatment is more appropriate.We describe the case of a 41-year-old hypertensive woman who presented with the sudden onset of sharp, persistent, right-upper-quadrant abdominal and epigastric pain. Magnetic resonance angiography of the abdomen revealed celiac artery dissection, with a flap compressing the lumen approximately 17 mm from the artery's origin at the aorta. Because of the patient's persistent epigastric pain, endovascular celiac artery stent implantation was performed with the use of 2 overlapping balloon-expandable stents. Twelve months after the procedure, the patient remained asymptomatic, and the stents were patent. This case and others in the medical literature suggest that endovascular treatment can be feasible in symptomatic patients with isolated spontaneous celiac artery dissection.
authors.affiliation: Department of Peripheral Vascular Intervention, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.
authors.forename: Mauricio
authors.initials: M
authors.lastname: Obon-Dent
authors.forename: Bahaeddin
authors.initials: B
authors.lastname: Shabaneh
authors.forename: Kathryn G
authors.initials: KG
authors.lastname: Dougherty
authors.forename: Neil E
authors.initials: NE
authors.lastname: Strickman
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D000800:Angioplasty, Balloon / Q000295:instrumentation; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D011237:Predictive Value of Tests; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Aneurysm, dissecting/diagnosis/radiography/therapy; angiography/methods; anticoagulants/therapeutic use; celiac artery/injuries/pathology/radiography; rupture, spontaneous/diagnosis/therapy; stents; vascular surgical procedures