Display options
Cite
Emori K, Takeuchi N, Soneda J. A Case of Isolated Celiac Artery Dissection Accompanied by Splenic Infarction Detected by Ultrasonography in the Emergency Department. Case Rep Cardiol. 2016;2016:8608496doi: 10.1155/2016/8608496.
Emori, K., Takeuchi, N., & Soneda, J. (2016). A Case of Isolated Celiac Artery Dissection Accompanied by Splenic Infarction Detected by Ultrasonography in the Emergency Department. Case reports in cardiology, 20168608496. https://doi.org/10.1155/2016/8608496
Emori, Kazumasa, et al. "A Case of Isolated Celiac Artery Dissection Accompanied by Splenic Infarction Detected by Ultrasonography in the Emergency Department." Case reports in cardiology vol. 2016 (2016): 8608496. doi: https://doi.org/10.1155/2016/8608496
Emori K, Takeuchi N, Soneda J. A Case of Isolated Celiac Artery Dissection Accompanied by Splenic Infarction Detected by Ultrasonography in the Emergency Department. Case Rep Cardiol. 2016;2016:8608496. doi: 10.1155/2016/8608496. Epub 2016 Apr 11. PMID: 27148460; PMCID: PMC4842356.
Copy Download .nbib Format: NLM
Share it on

Case Rep Cardiol. 2016;2016:8608496. doi: 10.1155/2016/8608496. Epub 2016 Apr 11.

A Case of Isolated Celiac Artery Dissection Accompanied by Splenic Infarction Detected by Ultrasonography in the Emergency Department.

Case reports in cardiology

Kazumasa Emori, Nobuhiro Takeuchi, Junichi Soneda

Affiliations

  1. Department of Cardiovascular Surgery, Kobe Tokushukai Hospital, 1-3-10 Kamitakamaru, Tarumi-ku, Kobe-shi, Hyogo 655-0017, Japan.

PMID: 27148460 PMCID: PMC4842356 DOI: 10.1155/2016/8608496

Abstract

A 46-year-old male with a history of hypertension visited the emergency department (ED) by ambulance complaining of sudden pain in the left side of his back. Ultrasonography (USG) performed at ED revealed splenic infarction along with occlusion and dissection of the celiac and splenic arteries without abdominal artery dissection. Contrast enhanced computed tomography (CT) revealed the same result. Consequently, spontaneous isolated celiac artery dissection (SICAD) was diagnosed. Because his blood pressure was high (159/70 mmHg), antihypertensive medicine was administered (nicardipine and carvedilol). After his blood reached optimal levels (130/80 mmHg), symptoms disappeared. Follow-up USG and contrast enhanced CT performed 8 days and 4 months after onset revealed amelioration of splenic infarction and improvement of the narrowed artery. Here, we report a case of SICAD with splenic infarction presenting with severe left-sided back pain and discuss the relevance of USG in an emergency setting.

References

  1. Surg Today. 1997;27(3):272-4 - PubMed
  2. Intern Med. 2002 Sep;41(9):713-6 - PubMed
  3. Cardiovasc Intervent Radiol. 2003 Sep-Oct;26(5):475-8 - PubMed
  4. J Vasc Interv Radiol. 1999 Apr;10(4):500-4 - PubMed
  5. Urology. 2010 Dec;76(6):1371-2, 1372.e1 - PubMed
  6. J Vasc Surg. 1998 Apr;27(4):776-9 - PubMed
  7. Dig Dis Sci. 2004 Aug;49(7-8):1223-7 - PubMed
  8. Vascular. 2009 Nov-Dec;17 (6):359-64 - PubMed
  9. Intern Med. 2004 Jun;43(6):473-8 - PubMed
  10. Ann Intern Med. 1947 Jun;26(6):873-89 - PubMed
  11. Dig Dis Sci. 1987 Dec;32(12):1431-4 - PubMed

Publication Types