title: A rare cause of epigastric pain in a middle-aged man.
abstract: A 50-year-old man presents to the emergency department with epigastric pain and is found to have severe hypertension on clinical examination. After admission to hospital, further investigation with CT imaging reveals the patient has an uncomplicated splenic artery dissection. Conservative management is chosen as advised by a vascular surgery team and the patient was subsequently discharged from hospital with warfarin anticoagulation and antihypertensive medicines. This case report aims to build a profile of a patient who may present with splenic artery dissection and details our recommended management plan.
authors.affiliation: Department of Diabetes and Endocrinology, Maidstone Hopsital, Maidstone and Tunbridge Wells NHS Trust, Kent, UK. rannienahas@doctors.org.uk
authors.forename: Rannie
authors.initials: R
authors.lastname: Nahas
authors.forename: Thomas
authors.initials: T
authors.lastname: Pain
authors.forename: Peter
authors.initials: P
authors.lastname: Goulden
mesh_terms: D015746:Abdominal Pain / Q000000981:diagnostic imaging* / Q000209:etiology*; D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000188:drug therapy; D000925:Anticoagulants / Q000627:therapeutic use; D000959:Antihypertensive Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D013157:Splenic Artery; D014057:Tomography, X-Ray Computed
chemical_list: D000925:Anticoagulants; D000959:Antihypertensive Agents