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Celiac Artery Dissection after Abdominal Blunt Trauma  

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)
Publication Information
Journal of Trauma and Injury / v.19, no.2, 2006 , pp. 196-200 More about this Journal
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
Celiac artery dissection; Abdominal blunt trauma; Stent;
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1 Asensio JA, FornoW, Roldan G, Petrone P, Rojo E, Ceballos J, et al. Visceral vascular injurs. Surg Clin North Am 2002;82:1-20   DOI   ScienceOn
2 Fenoglio L, Allione A, Scalabrino E, Alberto G, Benedetti V, Pomero F, et al. Spontaneous dissection of the celiac artery: A pitfall in the diagnosis of acute abdominal pin. Presentation of two cases. Dig Dis Sci 2004;49:1223-27   DOI   ScienceOn
3 Brown DB, Singh H, Atnip RG, Cardella JF, Waybill PN. Blunt traumatic injury to the superior mesenteric artery and celiac axis. J Trauma 1998; 9:738-5
4 Milagros M, Inmaculada P, Franziska B, Maria- Jose S, Gonzalo G. A case of acute abdominal aortic dissection caused by blunt trauma. Emerg Radiol 2006;12:182-5   DOI   ScienceOn
5 Peterson AH, Williams DM, Rodriguez JL, Francis IR. Percutaneous treatment of a traumatic aortic dissection by balloon fenestration and stent replacement. Am J Roentgenol 1995;164:1274-6   DOI   ScienceOn
6 Schievink WI. Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med 2001;344:898- 906   DOI   ScienceOn
7 Berthet JP, Marty-Ane CH, Vecrapen R, Picard E, Mary H, Alric P. Dissection of the abdominal aorta in blunt trauma: endovascular or conventional surgical management? J Vasc Surg 2003;38:997-1004   DOI   ScienceOn
8 Bret PM, Patensky C, Bretagnolle M, Paliard P, Burke M. Obstructive jaundice by a dissecting aneusym of celiac axis and hepatic artery. Dig Dis Sci 1987;32:1431-4   DOI   ScienceOn
9 Picard E, Marty-Ane CH, Vernhet H, Sessa C, Lesnik A, Senac JP, et al. Endovascular management of traumatic infrarenal abdominal aortic dissection. Ann Vasc Surg 1998;12:515-21   DOI   ScienceOn
10 Duebener LF, Lorenzen P, Richardt G, Misfeld M, Notzold A, Hartmann F, et al. Emergency endovascular stent-grafting for life-threatening acute type B aortic dissections. Ann Thorac Surg 2004;78;1261-6   DOI   ScienceOn
11 Halkos ME, Nicholas J, Kong LS, Burke JR, Milner R. Endovascular management of blunt abdnominal aortic injury. Vascular 2006;14:223-6   DOI   ScienceOn
12 Yasushi L, Yoshihiko Y, Yasuo H, Hidenori K, Ken K, Toshiharu T, et al. A case of isolated celiac axis injury by blunt abdominal trauma. J Trauma 2006;61:451-3   DOI   ScienceOn
13 Rodney W, Zvonimir K, Matthew J, David W, Michael B, Ellen O. Results of a multicenter trial for the treatment of traumatic vascular injury with a covered stent. J Trauma 2006;60:1189-96   DOI   ScienceOn
14 Soudack M, Gaitini D, Ofer A. Celiac artery aneurysm: diagnosis by color Doppler sonography and three-dimensional CT angiography. J Clin Ultrasound 1999;27:49-51   DOI   ScienceOn