Isolated Celiac Artery Dissection and Splenic Infarction in a Patient with Protein S Deficiency: A Case Report.
- Author:
Min Jeong KIM
1
;
Byung Seup KIM
;
In Gyu KIM
;
Jang Yong JEON
Author Information
1. Department of Surgery, Hallym Sacred Heart Hospital, Hallym University College of Medicine, Korea. kgiseup@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Protein S deficiency;
Celiac artery;
Dissection;
Splenic infarction
- MeSH:
Analgesics;
Anti-Bacterial Agents;
Celiac Artery;
Humans;
Male;
Protein S;
Protein S Deficiency;
Splenic Infarction;
Thrombosis
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2010;14(3):214-218
- CountryRepublic of Korea
- Language:English
-
Abstract:
Protein S (PS) deficiency is a rare blood disorder associated with thrombosis. Only a small number of cases of isolated celiac artery dissection can be found in the literature. We now report a case of isolated celiac artery dissection and splenic infarction in a 44-year old male with PS deficiency. Abdominal computed tomography revealed celiac artery dissection and splenic infarction. The patient's PS activity was 64% (nl : 70~140%) upon admission and 52% four weeks later. He was started on a regimen of NPO, antibiotics, and analgesics. He resumed oral intake of food and drugs on hospital day 3 and was discharged to his home on hospital day 8. We report a case of isolated celiac artery dissection with splenic infarction in a patient with PS deficiency that improved with conservative treatment. The patient's management did not include anti-platelet/thrombotic agents or endovascular/operational procedures.
