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J Korean Soc Traumatol. 2006 Dec;19(2):196-200. Korean. Case Report.
Suh YS , Kim SC , Ra HD , Han HS .
Department of Surgery, Seoul National University, College of Medicine, Seoul, Korea.
Department of Emergency Medicine, Seoul National University, College of Medicine, Seoul, Korea.
Department 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.

Copyright © 2019. Korean Association of Medical Journal Editors.