Clinical Practice and Cases in Emergency Medicine
Spontaneous Isolated Celiac Artery Dissection: A Case Report
- Author(s): Freeman, Clifford L.
- Lacy, Aaron J.
- Miner, Aubrey
- Rogers, Devin M.
- Smith, Austin T.
- Shah, Karan S.
- et al.
Introduction: Abdominal pain is a common chief complaint that can represent a wide breadth of diagnoses, ranging from benign to life-threatening. As our diagnostic tools become more sophisticated, we are able to better identify more causes of potentially life-threatening diseases. One such disease that is relatively unfamiliar to clinicians is spontaneous isolated celiac artery dissection (SICAD).
Case Report: We describe a case of a 46-year-old man who presented to our emergency department with a chief complaint of abdominal pain and was found to have a SICAD and was successfully treated with anticoagulation, antihypertensives, and observation.
Conclusion: It is important for emergency physicians to keep this potentially life-threatening condition in mind and to know the appropriate first steps once identified.