J Korean Soc Traumatol.
2006 Dec;19(2):196-200.
Celiac Artery Dissection after Abdominal Blunt Trauma
- Affiliations
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- 1Department of Surgery, Seoul National University, College of Medicine, Seoul, Korea.
- 2Department of Emergency Medicine, Seoul National University, College of Medicine, Seoul, Korea.
- 3Department of Surgery, Seoul National University Bundang Hospital, Gyeonggi, Korea. hanhs@snubh.org
Abstract
- We report a case of celiac artery dissection after abdominal blunt trauma. A 29-year-old man visited the emergency room for acute left periumbilical pain after abdominal blunt trauma from his child. Computed tomography showed a wedge-shaped splenic infarction with splenic artery thrombus. He was hospitalized for careful observation, and after two days, follow-up computed tomographic angiography showed a progressed celiac artery dissection that involved common hepatic artery and an increased extent of splenic infarction. He underwent conventional angiography, and a self-expandable stent was placed between the celiac axis and the common hepatic artery. After two days, follow-up computed tomographic angiography showed good hepatic arterial blood flow via the stent and no progression of splenic infarction. After ten days, he was discharged without complications.
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