Symptomatic Isolated Celiac Artery Dissection following Blunt Trauma

An isolated splanchnic artery injury due to blunt trauma occurs rarely because abdominal vascular injuries are typically associated with injuries to the surrounding abdominal structures, including solid organs or hollow viscus. Of the major abdominal vessels, the celiac artery is the least commonly...

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Main Authors: Sang Bong Lee, Hyuk Jae Jung, Jae Hun Kim
Format: Article
Language:English
Published: Korean Society of Acute Care Surgery 2019-10-01
Series:Journal of Acute Care Surgery
Subjects:
Online Access:http://www.jacs.or.kr/upload/pdf/jacs-2019-9-2-76.pdf
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author Sang Bong Lee
Hyuk Jae Jung
Jae Hun Kim
author_facet Sang Bong Lee
Hyuk Jae Jung
Jae Hun Kim
author_sort Sang Bong Lee
collection DOAJ
description An isolated splanchnic artery injury due to blunt trauma occurs rarely because abdominal vascular injuries are typically associated with injuries to the surrounding abdominal structures, including solid organs or hollow viscus. Of the major abdominal vessels, the celiac artery is the least commonly injured by penetrating or blunt abdominal trauma. Furthermore, a celiac artery dissection due to blunt trauma is rarely reported and there is no clearly defined treatment method, even though endovascular and conservative treatments are accepted widely. On the other hand, endovascular treatment can be challenging if the celiac artery dissection involves its main branch, including the proper hepatic artery, left gastric artery, and splenic artery. This case study presents the treatment experience of a celiac artery dissection involving its main branch following dorsal blunt trauma. Furthermore, conservative treatment is proposed as a treatment option for this rare injury.
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spelling doaj.art-87e6e72497da48eab47c6cfcbbb68c282023-09-18T07:11:17ZengKorean Society of Acute Care SurgeryJournal of Acute Care Surgery2288-58622288-95822019-10-0192767910.17479/jacs.2019.9.2.76181Symptomatic Isolated Celiac Artery Dissection following Blunt TraumaSang Bong Lee0Hyuk Jae Jung1Jae Hun Kim2 Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea Department of Surgery, Pusan National University College of Medicine, Yangsan, Korea Department of Trauma Surgery, Pusan National University Hospital, Busan, KoreaAn isolated splanchnic artery injury due to blunt trauma occurs rarely because abdominal vascular injuries are typically associated with injuries to the surrounding abdominal structures, including solid organs or hollow viscus. Of the major abdominal vessels, the celiac artery is the least commonly injured by penetrating or blunt abdominal trauma. Furthermore, a celiac artery dissection due to blunt trauma is rarely reported and there is no clearly defined treatment method, even though endovascular and conservative treatments are accepted widely. On the other hand, endovascular treatment can be challenging if the celiac artery dissection involves its main branch, including the proper hepatic artery, left gastric artery, and splenic artery. This case study presents the treatment experience of a celiac artery dissection involving its main branch following dorsal blunt trauma. Furthermore, conservative treatment is proposed as a treatment option for this rare injury.http://www.jacs.or.kr/upload/pdf/jacs-2019-9-2-76.pdfceliac arterydissectionnon penetrating
spellingShingle Sang Bong Lee
Hyuk Jae Jung
Jae Hun Kim
Symptomatic Isolated Celiac Artery Dissection following Blunt Trauma
Journal of Acute Care Surgery
celiac artery
dissection
non penetrating
title Symptomatic Isolated Celiac Artery Dissection following Blunt Trauma
title_full Symptomatic Isolated Celiac Artery Dissection following Blunt Trauma
title_fullStr Symptomatic Isolated Celiac Artery Dissection following Blunt Trauma
title_full_unstemmed Symptomatic Isolated Celiac Artery Dissection following Blunt Trauma
title_short Symptomatic Isolated Celiac Artery Dissection following Blunt Trauma
title_sort symptomatic isolated celiac artery dissection following blunt trauma
topic celiac artery
dissection
non penetrating
url http://www.jacs.or.kr/upload/pdf/jacs-2019-9-2-76.pdf
work_keys_str_mv AT sangbonglee symptomaticisolatedceliacarterydissectionfollowingblunttrauma
AT hyukjaejung symptomaticisolatedceliacarterydissectionfollowingblunttrauma
AT jaehunkim symptomaticisolatedceliacarterydissectionfollowingblunttrauma