Symptomatic spontaneous celiac and hepatic artery dissection is a rare condition. It is not known which treatment modalities are the most appropriate. Here, the case of a 64-year-old man who presented to us with a several-month history of epigastralgia is reported. Computed tomography (CT) revealed a fusiform dilated dissection of the celiac and hepatic arteries with a flap. Because of the size of the dissection and the refractory symptoms, an endovascular stent implantation was performed. Eight months after the procedure, CT scans showed a new aneurysmal formation at the proper hepatic artery near the distal edge of the stent. The dissection was isolated by coil packing. This case suggests that endovascular treatment can be feasible in symptomatic patients with isolated spontaneous celiac and hepatic artery dissection.

We present the cases of two patients who underwent ureteral occlusion using coils and/or Amplatzer Vascular Plug with N-butyl cyanoacrylate glue after extensive advanced rectal surgery. Both patients had complex urine leaks unresponsive to urinary diversion. In view of the progress of the disease and the history of polysurgery, reconstructive surgery or anterograde ureteral stent insertion was not chosen. All patients had immediate resolution of urinary leakage after ureteral embolization, resulting in symptom relief throughout the follow-up period. There were no procedure-related complications or side effects.