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An uncommon dissection: Adding to the evidence of celiac artery dissection
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An uncommon dissection: Adding to the evidence of celiac artery dissection
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Journal Article
An uncommon dissection: Adding to the evidence of celiac artery dissection
2017
Overview
Diagnostic imaging findings on CT include an intimal flap, and is pathognomonic, or eccentric mural thrombus in the celiac lumen, which should raise suspicion for dissection [4]. The natural progression of spontaneous celiac artery dissection is poorly understood and severe sequelae is possible including pancreatitis, hepatic and splenic infarct, intraperitoneal hemorrhage and intestinal ischemia [1,3]. Because the progression is not fully understood and because of the limited number of reported cases, there are no set guidelines in management or treatment. Medical therapy includes strict blood pressure control, including the use of beta blockers to decrease arterial shear stress. Surgical treatment has been indicated in situations such as unstable hemodynamics, failure to control blood pressure, failure of medical therapy, persistent abdominal pain, prevention of aneurysm rupture, progression of the dissection and in intestinal ischemia [1-3]. [...]as technology improves and incidence increases with more reported cases, there will be a clearer understanding of the disease progression and an understanding of the appropriate management. 1 Ernesto Lima Araujo Melo, Rainne André Siqueira, Francisco Thiago Martins De Paula, Spontaneous dissection of the celiac trunk: report of three cases and review of the literature, J Vasc Bras, Vol. 13.2, 2014, 150-154, (Web) 2 S. Vaidya,...
Publisher
Elsevier Inc,Elsevier Limited
Subject
/ Aneurysm, Dissecting - complications
/ Aneurysm, Dissecting - diagnostic imaging
/ Aneurysm, Dissecting - drug therapy
/ Celiac Artery - diagnostic imaging
/ Computed Tomography Angiography
/ Dilatation, Pathologic - etiology
/ Humans
/ Ischemia
/ Male
/ Pain
/ Propanolamines - therapeutic use
/ Rupture
/ Spleen
