title: Spontaneous Isolated Celiac Artery and Superior Mesenteric Artery Dissections: A Rare Case.
abstract: BACKGROUND
  Arterial dissection is defined as the cleavage of the arterial wall by an intramural hematoma. Reports of dissection of the celiac and/or superior mesenteric artery are rare; as far as we know, only 24 cases of spontaneous isolated celiac trunk dissection, and 71 cases of spontaneous isolated superior mesenteric artery dissection have been reported.
  
  
  METHODS
  The case presents a 48-year-old male with a sudden-onset epigastric pain. A Computed Tomography Angiography of the thoracoabdominal aorta was applied and dissections of both the celiac artery and SMA were determined. A conservative therapeutic approach was preferred and the patient was discharged with anticoagulant and antihypertensive therapy.
  
  
  CONCLUSIONS
  Although rare, spontaneous isolated celiac artery and superior mesenteric artery dissections must be kept in mind in the differential diagnosis of the epigastric pain in the emergency room. Contrast-enhanced Computed Tomography Angiography examination is the method of choice in the diagnosis.
authors.affiliation: Department of Radiology, Ministry of Health, Ankara Education and Research Hospital, Ankara, Turkey.
authors.forename: Sonay
authors.initials: S
authors.lastname: Aydin
authors.affiliation: Department of Radiology, Ministry of Health, Ankara Education and Research Hospital, Ankara, Turkey.
authors.forename: Elif
authors.initials: E
authors.lastname: Ergun
authors.affiliation: Department of Radiology, Ministry of Health, Ankara Education and Research Hospital, Ankara, Turkey.
authors.forename: Erdem
authors.initials: E
authors.lastname: Fatihoglu
authors.affiliation: Department of Radiology, Ministry of Health, Ankara Education and Research Hospital, Ankara, Turkey.
authors.forename: Gamze
authors.initials: G
authors.lastname: Durhan
authors.affiliation: Department of Radiology, Ministry of Health, Ankara Education and Research Hospital, Ankara, Turkey.
authors.forename: Pinar Nercis
authors.initials: PN
authors.lastname: Kosar
keywords: Celiac Artery; Dissection; Mesenteric Artery, Superior