Spontaneous Celiac Artery Dissection with Splenic Infarction: A Report of Two Cases
Spontaneous isolated celiac artery dissection (SICAD) is a rare condition that is characterized by sudden onset abdominal pain, typically occurring in middle-aged men. Although its clinical course is mostly benign, it may progress to true lumen occlusion. No established therapeutic guidelines are av...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Medrang
2023-09-01
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| Series: | Vascular Specialist International |
| Subjects: | |
| Online Access: | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.230067 |
| _version_ | 1797693189998510080 |
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| author | Suh Min Kim Hyunmin Ko |
| author_facet | Suh Min Kim Hyunmin Ko |
| author_sort | Suh Min Kim |
| collection | DOAJ |
| description | Spontaneous isolated celiac artery dissection (SICAD) is a rare condition that is characterized by sudden onset abdominal pain, typically occurring in middle-aged men. Although its clinical course is mostly benign, it may progress to true lumen occlusion. No established therapeutic guidelines are available for SICAD associated with splenic infarction. This report describes two patients who presented with sudden onset abdominal pain and were diagnosed with SICAD with splenic infarction based on computed tomography (CT) findings. Patients were treated with bowel rest and anticoagulants. After a week of medical therapy, the abdominal pain resolved. Follow-up CT revealed no progression of the dissection flap. The patients received oral anticoagulants for 3 months and did not experience any symptom recurrence. Medical therapy with anticoagulants may be considered for patients with SICAD and splenic infarction. Associated splenic infarction itself is not an indication for endovascular or surgical intervention for SICAD. |
| first_indexed | 2024-03-12T02:39:02Z |
| format | Article |
| id | doaj.art-1bf0589352f14251a042b2b6c4120cf1 |
| institution | Directory Open Access Journal |
| issn | 2288-7970 2288-7989 |
| language | English |
| last_indexed | 2024-03-12T02:39:02Z |
| publishDate | 2023-09-01 |
| publisher | Medrang |
| record_format | Article |
| series | Vascular Specialist International |
| spelling | doaj.art-1bf0589352f14251a042b2b6c4120cf12023-09-04T08:25:27ZengMedrangVascular Specialist International2288-79702288-79892023-09-013910.5758/vsi.230067vsi.230067Spontaneous Celiac Artery Dissection with Splenic Infarction: A Report of Two CasesSuh Min Kim0Hyunmin Ko1Department of Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, KoreaDepartment of Surgery, Chung-Ang University Gwangmyeong Hospital, Gwangmyeong, KoreaSpontaneous isolated celiac artery dissection (SICAD) is a rare condition that is characterized by sudden onset abdominal pain, typically occurring in middle-aged men. Although its clinical course is mostly benign, it may progress to true lumen occlusion. No established therapeutic guidelines are available for SICAD associated with splenic infarction. This report describes two patients who presented with sudden onset abdominal pain and were diagnosed with SICAD with splenic infarction based on computed tomography (CT) findings. Patients were treated with bowel rest and anticoagulants. After a week of medical therapy, the abdominal pain resolved. Follow-up CT revealed no progression of the dissection flap. The patients received oral anticoagulants for 3 months and did not experience any symptom recurrence. Medical therapy with anticoagulants may be considered for patients with SICAD and splenic infarction. Associated splenic infarction itself is not an indication for endovascular or surgical intervention for SICAD.http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.230067celiac arterydissectionsplenic infarctionanticoagulants |
| spellingShingle | Suh Min Kim Hyunmin Ko Spontaneous Celiac Artery Dissection with Splenic Infarction: A Report of Two Cases Vascular Specialist International celiac artery dissection splenic infarction anticoagulants |
| title | Spontaneous Celiac Artery Dissection with Splenic Infarction: A Report of Two Cases |
| title_full | Spontaneous Celiac Artery Dissection with Splenic Infarction: A Report of Two Cases |
| title_fullStr | Spontaneous Celiac Artery Dissection with Splenic Infarction: A Report of Two Cases |
| title_full_unstemmed | Spontaneous Celiac Artery Dissection with Splenic Infarction: A Report of Two Cases |
| title_short | Spontaneous Celiac Artery Dissection with Splenic Infarction: A Report of Two Cases |
| title_sort | spontaneous celiac artery dissection with splenic infarction a report of two cases |
| topic | celiac artery dissection splenic infarction anticoagulants |
| url | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.230067 |
| work_keys_str_mv | AT suhminkim spontaneousceliacarterydissectionwithsplenicinfarctionareportoftwocases AT hyunminko spontaneousceliacarterydissectionwithsplenicinfarctionareportoftwocases |