Diagnosis and treatment of isolated celiac artery dissection following blunt trauma: A case report

Abstract

Introduction Celiac artery (CA) dissection due to blunt abdominal trauma is extremely rare and, as such, the clinical features of this potentially life-threatening injury have not been clearly defined, nor have treatment strategies been established. Presentation of case We describe the case of a 61-year-old man who presented to our emergency department after a motor vehicle accident. Although the patient did not report abdominal pain, enhanced computed tomography (CT) revealed CA dissection. The patient was treated conservatively using antiplatelet therapy and was discharged from the hospital on day 8, without complications. Discussion As abdominal pain is not a common presenting factor of CA dissection after blunt trauma, it should be suspected as a potential injury in all affected patients and comprehensively assessed, with CT being the most useful diagnostic modality. Conclusion In the absence of any signs of organ ischemia, changes in the CA aneurysm, and persistent, severe abdominal pain following blunt abdominal trauma, conservative treatment is indicated, with or without anticoagulation or antiplatelet therapy.

Proper hepatic artery transection followed by blunt abdominal trauma: A case report and review of literature

“… 2 Involvement of the celiac artery has been described only in 1%–2% of blunt trauma injuries, and to our knowledge, damage to other celiac branches following blunt trauma has only been documented in case reports. 3 , 4 Additionally, Porta hepatis injuries, whether penetrating or blunt, are extraordinarily rare, comprising approximately 0.07% of abdominal vascular injuries. Notably, within this already uncommon group, extrahepatic artery injuries, involving the hepatic artery, are found in just 23% of cases.…”

“…The most concerning aspect of abdominal visceral trauma is the potential for up to a 90% mortality rate, often within the initial 24 h due to massive blood loss and consecutive hemorrhagic shock 2 . Involvement of the celiac artery has been described only in 1%–2% of blunt trauma injuries, and to our knowledge, damage to other celiac branches following blunt trauma has only been documented in case reports 3,4 . Additionally, Porta hepatis injuries, whether penetrating or blunt, are extraordinarily rare, comprising approximately 0.07% of abdominal vascular injuries.…”