Korean J Hepatobiliary Pancreat Surg.  2010 Sep;14(3):214-218.

Isolated Celiac Artery Dissection and Splenic Infarction in a Patient with Protein S Deficiency: A Case Report

• Kim MJ
• Kim BS
• Kim IG
• Jeon JY

Abstract

Protein S (PS) deficiency is a rare blood disorder associated with thrombosis. Only a small number of cases of isolated celiac artery dissection can be found in the literature. We now report a case of isolated celiac artery dissection and splenic infarction in a 44-year old male with PS deficiency. Abdominal computed tomography revealed celiac artery dissection and splenic infarction. The patient's PS activity was 64% (nl : 70~140%) upon admission and 52% four weeks later. He was started on a regimen of NPO, antibiotics, and analgesics. He resumed oral intake of food and drugs on hospital day 3 and was discharged to his home on hospital day 8. We report a case of isolated celiac artery dissection with splenic infarction in a patient with PS deficiency that improved with conservative treatment. The patient's management did not include anti-platelet/thrombotic agents or endovascular/operational procedures.

Keyword

Protein S deficiency; Celiac artery; Dissection; Splenic infarction

MeSH Terms

Analgesics
Anti-Bacterial Agents
Celiac Artery
Humans
Male
Protein S
Protein S Deficiency
Splenic Infarction
Thrombosis
Analgesics
Anti-Bacterial Agents
Protein S