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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.
Creative Commons 'BY' version 4.0 license
Abstract

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.

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