Korean J Radiol.  2013 Jun;14(3):460-464. 10.3348/kjr.2013.14.3.460.

Endovascular Stent Graft for Treatment of Complicated Spontaneous Dissection of Celiac Artery: Report of Two Cases

• Kang UR
• Kim YH
• Lee YH

• KMID: 1705460
• DOI: http://doi.org/10.3348/kjr.2013.14.3.460

Abstract

We report 2 cases of complicated spontaneous dissection of the celiac artery, which were successfully treated by a stent graft. The first patient was a 47-year-old man who presented with acute abdominal pain. CT scan showed ruptured saccular aneurysm with surrounding retroperitoneal hematoma. The second patient was a 57-year-old man with progressive dissecting aneurysm. Endovascular stent graft was placed in the celiac trunk to control bleeding, and to prevent rupture in each patient. Follow-up CT scans showed complete obliteration of a dissecting aneurysm.

Keyword

Celiac trunk; Dissection; Aneurysm; Stent graft

MeSH Terms

Abdominal Pain/etiology/radiography
Aneurysm, Dissecting/*therapy
Aneurysm, Ruptured/prevention & control
Celiac Artery/*injuries
Hematoma/etiology/radiography
Hemorrhage/etiology/radiography
Humans
Male
Middle Aged
Retroperitoneal Space
Rupture, Spontaneous/therapy
*Stents
Tomography, X-Ray Computed/adverse effects

Figure

• 

  Fig. 1 47-year-old man presented with acute abdominal pain. A, B. Abdominal CT scan shows dissecting aneurysm in celiac artery with surrounding retroperitoneal hematoma (arrow). True lumen of celiac artery is narrowed by intramural hematoma (arrow). C. Celiac angiography shows saccular aneurysm in celiac artery (arrow). Splenic artery is occluded. D. Celiac angiography obtained after placement of stent graft reveals disappearance of dissecting aneurysm. Left gastric artery is visualized by collaterals from right gastric artery (arrow).

• 

  Fig. 2 57-year-old man presented with acute abdominal pain. A. Abdominal CT scan obtained 3 months before admission shows small dissecting aneurysm in celiac artery (arrow). B. Abdominal CT scan obtained on admission reveals growth of dissecting aneurysm along celiac artery, which has maximal inner diameter of 2 cm (arrow). C. Celiac angiography shows dissecting aneurysm in celiac artery. D. Post-procedure angiography shows complete exclusion of dissecting aneurysm with stent graft. No compromising blood flow was notice to distal hepatic artery, gastroduodenal artery, and splenic artery.

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