Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지

Celiac Artery Dissection after Abdominal Blunt Trauma

복부 둔상 후 발견된 복강동맥 박리 1례

  • Suh, Yun Suhk (Department of Surgery, Seoul National University, College of Medicine) ;
  • Kim, Seong Chun (Department of Emergency Medicine, Seoul National University, College of Medicine) ;
  • Ra, Hwan Do (Department of Surgery, Seoul National University Bundang Hospital) ;
  • Han, Ho-Seong (Department of Surgery, Seoul National University Bundang Hospital)
  • 서윤석 (서울대학교 의과대학 외과학교실) ;
  • 김성춘 (서울대학교 의과대학 응급의학교실) ;
  • 라환도 (분당 서울대학교병원 외과) ;
  • 한호성 (분당 서울대학교병원 외과)
  • Received : 2006.10.30
  • Accepted : 2006.12.05
  • Published : 2006.12.30
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Abstract

We report a case of celiac artery dissection after abdominal blunt trauma. A 29-year-old man visited the emergency room for acute left periumbilical pain after abdominal blunt trauma from his child. Computed tomography showed a wedge-shaped splenic infarction with splenic artery thrombus. He was hospitalized for careful observation, and after two days, follow-up computed tomographic angiography showed a progressed celiac artery dissection that involved common hepatic artery and an increased extent of splenic infarction. He underwent conventional angiography, and a self-expandable stent was placed between the celiac axis and the common hepatic artery. After two days, follow-up computed tomographic angiography showed good hepatic arterial blood flow via the stent and no progression of splenic infarction. After ten days, he was discharged without complications.

Keywords

References

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