caa a22 4500 606171436 CHVBK 20210128100723.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s10140-014-1255-8 doi (NATIONALLICENCE)springer-10.1007/s10140-014-1255-8 Isolated spontaneous dissection of a visceral artery: a rare cause of epigastric pain [Elektronische Daten] [Abdel-Rauf Zeina, Alicia Nachtigal, Ahmad Mahamid, Uri Soimu, Itamar Ashkenazi, Michael Oster] Background: Isolated spontaneous dissection of the celiac trunk or superior mesenteric artery is rarely considered in patients with acute abdominal pain. However, with advances in computed tomography (CT) technology, more cases are being detected. Purpose: The aim of this study was to describe the clinical manifestation and the classical CT features of isolated spontaneous celiac trunk and superior mesenteric artery (SMA) dissection. Material and methods: The records of seven patients were reviewed to assess demographic data, presenting symptoms, location of dissection, diagnostic modalities, imaging findings, complications, and treatment. Results: Six patients were men. The average age was 57years (range, 44-80). Six had epigastric pain and one was asymptomatic. All were diagnosed by CT. The location of dissection was the celiac trunk in three and SMA in four. In all cases, the diagnosis was made by identifying an intimal flap on contrast-enhanced CT images. Extension of dissection to the hepatic artery was found in three patients. A number of associated imaging findings were also present: infiltration of the fat surrounding the vessel (four cases), aneurysmal dilatation (six), thrombosed false lumen (four), significant stenosis (two), and additional aortic or visceral artery aneurysm (four). One patient had renal infarction 2weeks after initial presentation. Extensive evaluation of all patients revealed no serologic evidence to support the presence of vasculitis or an inflammatory disorder. All were treated conservatively with antihypertensive drugs, anti-inflammatory drugs, steroids, and anticoagulants. Conclusion: Isolated spontaneous splanchnic artery dissection should be considered in the differential diagnosis of acute abdominal pain. American Society of Emergency Radiology, 2014 Celiac trunk nationallicence Superior mesenteric artery nationallicence Computed tomography nationallicence Intimal flap nationallicence Splanchnic artery nationallicence Zeina Abdel-Rauf Department of Radiology, Hillel Yaffe Medical Center, P.O.B. 169, 38100, Hadera, Israel aut Nachtigal Alicia Department of Radiology, Hillel Yaffe Medical Center, P.O.B. 169, 38100, Hadera, Israel aut Mahamid Ahmad Division of Surgery, Hillel Yaffe Medical Center, Hadera, Israel aut Soimu Uri Department of Radiology, Hillel Yaffe Medical Center, P.O.B. 169, 38100, Hadera, Israel aut Ashkenazi Itamar Division of Surgery, Hillel Yaffe Medical Center, Hadera, Israel aut Oster Michael Department of Radiology, Hillel Yaffe Medical Center, P.O.B. 169, 38100, Hadera, Israel aut Emergency Radiology Springer Berlin Heidelberg 22/3(2015-06-01), 215-220 1070-3004 22:3<215 2015 22 10140 https://doi.org/10.1007/s10140-014-1255-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10140-014-1255-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Zeina Abdel-Rauf Department of Radiology, Hillel Yaffe Medical Center, P.O.B. 169, 38100, Hadera, Israel aut NATIONALLICENCE 700 1- Nachtigal Alicia Department of Radiology, Hillel Yaffe Medical Center, P.O.B. 169, 38100, Hadera, Israel aut NATIONALLICENCE 700 1- Mahamid Ahmad Division of Surgery, Hillel Yaffe Medical Center, Hadera, Israel aut NATIONALLICENCE 700 1- Soimu Uri Department of Radiology, Hillel Yaffe Medical Center, P.O.B. 169, 38100, Hadera, Israel aut NATIONALLICENCE 700 1- Ashkenazi Itamar Division of Surgery, Hillel Yaffe Medical Center, Hadera, Israel aut NATIONALLICENCE 700 1- Oster Michael Department of Radiology, Hillel Yaffe Medical Center, P.O.B. 169, 38100, Hadera, Israel aut NATIONALLICENCE 773 0- Emergency Radiology Springer Berlin Heidelberg 22/3(2015-06-01), 215-220 1070-3004 22:3<215 2015 22 10140