Key result
Conservative medical treatment successfully stabilizes rare spontaneous celiac trunk and splenic artery dissection with infarction.
Why the study?
Isolated spontaneous dissection of the celiac trunk is rarely diagnosed in acute abdominal pain and can be fatal if overlooked.
Case Report (n=2)
No
Spontaneous dissection of the celiac trunk with concurrent splenic artery dissection can be successfully managed with medical treatment.
Conservative management may stabilize rare spontaneous celiac trunk and splenic artery dissection; leaves open need for larger studies before practice change.
Isolated spontaneous dissection of the celiac trunk is rarely diagnosed in acute abdominal pain. We present two cases of celiac trunk and splenic artery dissection with splenic infarction. Patients were successfully managed and stabilized by medical treatment. Isolated celiac trunk dissection can be fatal, therefore providers should be careful not to overlook this entity.
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Lee et al. (2015) conducted a case report in Spontaneous dissection of celiac trunk with concurrent splenic artery dissection (n=2). Conservative medical management was evaluated on Symptom resolution and clinical stabilization. Two cases of rare spontaneous celiac trunk and splenic artery dissection with splenic infarction were successfully managed and stabilized with conservative medical treatment.
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