Isolated spontaneous dissection of the celiac artery: report of two cases.
Isolated spontaneous dissection of the celiac artery (DCA) is extremely rare and its therapeutic strategy is still not established. We report two cases of DCA, in which 58-year-old and 43-year-old male patients with right hypogastralgia and back pain, respectively, were diagnosed by enhanced computed tomography and treated conservatively with antihypertensive agents. They were doing well under circumspect medical management without recurrence of symptoms or progression of dissection after 3.5 years and 3 months, respectively, after detection of DCA. Conservative treatment with blood pressure control and careful surveillance is considered to be applicable in most cases of DCA.
Department of Vascular Surgery, Ibaraki Prefectural Central Hospital, Kasama, Ibaraki, Japan ; Department of Surgery, Ibaraki Prefectural Central Hospital, Kasama, Ibaraki, Japan.
Yutaka
Y
Takayama
Department of Surgery, Ibaraki Prefectural Central Hospital, Kasama, Ibaraki, Japan.
Mikiya
M
Takao
Department of Surgery, Ibaraki Prefectural Central Hospital, Kasama, Ibaraki, Japan.
Takafumi
T
Inoue
Department of Surgery, Ibaraki Prefectural Central Hospital, Kasama, Ibaraki, Japan.
Fuyo
F
Yoshimi
Department of Radiology, Ibaraki Prefectural Central Hospital, Kasama, Ibaraki, Japan.
Ken
K
Koyama
Department of Surgery, Ibaraki Prefectural Central Hospital, Kasama, Ibaraki, Japan.
Hideo
H
Nagai
celiac artery; conservative therapy; dissection