Celiac Artery Dissection after Abdominal Blunt Trauma.
- Author:
Yun Suhk SUH
1
;
Seong Chun KIM
;
Hwan Do RA
;
Ho Seong HAN
Author Information
1. Department of Surgery, Seoul National University, College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Celiac artery dissection;
Abdominal blunt trauma;
Stent
- MeSH:
Adult;
Angiography;
Axis, Cervical Vertebra;
Celiac Artery*;
Child;
Emergency Service, Hospital;
Follow-Up Studies;
Hepatic Artery;
Humans;
Splenic Artery;
Splenic Infarction;
Stents;
Thrombosis
- From:Journal of the Korean Society of Traumatology
2006;19(2):196-200
- CountryRepublic of Korea
- Language:Korean
-
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.