Dissecção isolada do tronco celíaco: relato de caso

Silvestre, Jose Manoel da Silva; Sardinha, Wander Eduardo; Piazzalunga, Marcelo; Fernandes, Benedito; Motta, Fernando; Silvestre, Guilherme da Silva

doi:10.1590/s1677-54492010000300010

Cited by 6 publications

(1 citation statement)

References 10 publications

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“…2,3,5,11 Silvestre et al described a case of simultaneous aneurysm and dissection of the celiac trunk in which the dissection was identified on angiotomography as a failure of linear filling compatible with a laminar dissection. 12 Spontaneous dissection cases may also exhibit densification of the fat planes surrounding the celiac trunk on surgical management is attempted, patients with active hemorrhaging have an estimated mortality of 50%. 4 Surgical treatment of celiac trunk dissection is performed to prevent acute complications, such as rupture of an aneurysm or mesenteric ischemia, or to prevent chronic complications such as stenosis.…”

Section: Casementioning

confidence: 99%

Spontaneous dissection of the celiac trunk: report of three cases and review of the literature

2014

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Spontaneous dissection of the celiac trunk is quite an uncommon medical condition, with few case reports in the medical literature. Sudden epigastric abdominal pain is the most common complaint reported by patients, but due to the rarity of this disease in clinical practice and the nonspecific nature of its symptoms, a high degree of clinical suspicion is needed to establish diagnosis. However, improvements in imaging techniques are facilitating diagnosis of this clinical entity, increasing its detection rate. The ideal treatment has not yet been fully established in the literature and the available therapeutic strategies are conservative medical treatment, surgical revascularization or endovascular intervention. In this article we report on three cases of spontaneous dissection of the celiac trunk and conduct a review of the literature on this disease Keywords: dissection; acute pain; celiac artery. ResumoA dissecção espontânea do tronco celíaco é uma condição médica incomum, com poucos relatos de casos publicados na literatura médica. A dor abdominal súbita no epigástrio é o sintoma mais frequentemente manifestado pelos pacientes; porém, devido à raridade dessa doença na prática clínica e à inespecificidade de seus sintomas, é necessário um alto grau de suspeição para o estabelecimento do seu diagnóstico. Nesse contexto, o aperfeiçoamento das técnicas de exames de imagem vem possibilitando o diagnóstico desta entidade clínica com maior facilidade, aumentando a sua taxa de detecção. O tratamento ideal ainda não está completamente bem estabelecido na literatura, sendo que as estratégias terapêuticas disponíveis são o tratamento médico conservador, a revascularização cirúrgica e a intervenção endovascular. Neste artigo, nós relatamos três casos de dissecção espontânea do tronco celíaco e realizamos uma revisão de literatura sobre esta doença.Palavras-chave: dissecção; dor aguda; artéria celíaca.

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Section: Casementioning

confidence: 99%