title: Spontaneous dissection of the celiac artery: a case report and literature review.
abstract: Epigastralgia is a common chief compliant in the emergency department. Most of them are not fetal events, but some are life threatening such as aortic dissection or abdominal aneurysm rupture. Spontaneous visceral artery dissection is an uncommon occurrence with an unpredictable natural history and is rarely considered in the diagnosis of acute abdominal pain; however, it is as critical as aortic dissection and even easier to be ignored because of its rarity. We present a case of a 48-year-old man who presented to our emergency department with the chief concern of epigastric pain and diagnosed as having isolated spontaneous celiac artery dissection involving the hepatic artery, gastroduodenal artery, and splenic artery. Most cases required surgical intervention in previous reports; there are some, as in this case, managed well nonoperatively.
authors: Department of Emergency Medicine, Cathay General Hospital, Taipei, Taiwan.
authors: Hsiao-Chia
authors: HC
authors: Wang
authors: Jiann-Hwa
authors: JH
authors: Chen
authors: Chieh-Chien
authors: CC
authors: Hsiao
authors: Chin-Ming
authors: CM
authors: Jeng
authors: Wei-Lung
authors: WL
authors: Chen
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D002445:Celiac Artery / Q000000981:diagnostic imaging; D004636:Emergency Service, Hospital; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography