Key result
Conservative anticoagulation successfully manages isolated spontaneous celiac artery dissection in a low-risk 35-year-old man.
Why the study?
Isolated spontaneous celiac artery dissection is rare with few reported cases, particularly in young patients with minimal risk factors.
Case Report (n=1)
No
This case highlights the importance of maintaining a high clinical suspicion for isolated spontaneous celiac artery dissection in young, otherwise healthy individuals presenting with acute abdominal pain.
Prompts high suspicion for celiac artery dissection in young adults with acute abdominal pain; hypothesis-generating for conservative anticoagulation.
Isolated spontaneous celiac artery dissection is a rare condition with only a few reported cases, especially in individuals with minimal risk factors. Celiac artery dissection has been associated with several risk factors, including hypertension, vasculitis, pregnancy, connective tissue disease, smoking, diabetes, and dyslipidemia. The condition typically affects middle-aged men, with a mean age of 55 years. We present a case of celiac artery dissection in a young 35-year-old man with a past medical history of obesity and mild dyslipidemia. The patient presented with spontaneous mid-epigastric pain radiating to his left upper abdomen. This case of an isolated celiac artery dissection in a young patient without significant risk factors highlights the importance of maintaining a high clinical suspicion for this rare condition, even in otherwise healthy individuals presenting with acute abdominal pain.
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Ahmed et al. (2026) conducted a case report in Isolated spontaneous celiac artery dissection (n=1). Anticoagulation (heparin drip followed by oral anticoagulation) was evaluated. A 35-year-old man with minimal risk factors was successfully diagnosed with an isolated spontaneous celiac artery dissection and managed conservatively with anticoagulation.
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