Zeina Abdel-Rauf, Nachtigal Alicia, Troitsa Anton, Admon Gil, Avshovich Nina
Department of Radiology, Hillel Yaffe Medical Center, Hadera, Israel.
Vasc Health Risk Manag. 2010 Jun 1;6:383-6. doi: 10.2147/vhrm.s9912.
Isolated spontaneous dissection of celiac trunk is a rare entity. The spontaneous dissection of the visceral artery occurs without aortic dissection. The most consistent presenting symptom is acute onset abdominal pain. Complications consist of ischemia, aneurysm formation, and rupture. We report an exceptional case of an isolated spontaneous dissection of the celiac trunk which occurred in a 49 year old male with a previously undiagnosed bicuspid aortic valve (BAV). We also describe the classical appearance in different imaging modalities with a particular emphasis on multidetector computed tomography, and discuss the clinical manifestation and its relationship to BAV.
孤立性腹腔干自发性夹层是一种罕见的疾病。内脏动脉的自发性夹层在无主动脉夹层的情况下发生。最常见的症状是急性腹痛。并发症包括缺血、动脉瘤形成和破裂。我们报告了一例49岁男性发生的孤立性腹腔干自发性夹层罕见病例，该患者之前未被诊断出患有二叶式主动脉瓣（BAV）。我们还描述了不同成像方式下的典型表现，特别强调了多排螺旋计算机断层扫描，并讨论了临床表现及其与BAV的关系。
