Rehman Aziz Ur, Almanfi Abdelkader, Nadella Srikanth, Sohail Umair
Department of Internal Medicine, St. Luke's Hospital, Chesterfield, Missouri 63017.
Tex Heart Inst J. 2014 Jun 1;41(3):344-5. doi: 10.14503/THIJ-13-3404. eCollection 2014 Jun.
Isolated spontaneous dissection of the celiac artery is rare, and its occurrence without aortic dissection is even rarer. The typical symptom of this dissection is acute-onset abdominal pain. Complications of the condition include aneurysm formation, rupture, and abdominal-organ ischemia or infarction, especially in the liver or spleen. We report the case of a 47-year-old man with von Willebrand disease who had an isolated spontaneous dissection of the celiac artery. We used computed tomography and computed tomographic angiography in the diagnosis and characterization of the dissection. To our knowledge, this is the first report of celiac artery dissection in a patient with von Willebrand disease.
孤立性自发性腹腔干动脉夹层很少见,而不伴有主动脉夹层的情况则更为罕见。这种夹层的典型症状是急性腹痛。该病症的并发症包括动脉瘤形成、破裂以及腹部器官缺血或梗死,尤其是肝脏或脾脏。我们报告一例患有血管性血友病的47岁男性发生孤立性自发性腹腔干动脉夹层的病例。我们使用计算机断层扫描和计算机断层血管造影来诊断和明确该夹层。据我们所知,这是血管性血友病患者发生腹腔干动脉夹层的首例报告。