Duraikannu Chary, Karunakaran Parthasarathy, Haithrous Shamim Ahamed, Pulupula Venkata Narasimha Kumar
Countess of Chester Hospital NHS Foundation Trust. Liverpool Road, Chester, CH2 1UL. United Kingdom.
Radiol Case Rep. 2020 Feb 24;15(5):479-483. doi: 10.1016/j.radcr.2020.01.028. eCollection 2020 May.
Isolated celiac artery dissection (ICAD) is a rare entity with over 160 cases described in literature. We report a case of incidentally detected isolated celiac artery dissection during computed tomography evaluation for occult gastrointestinal bleeding. Though most cases of isolated celiac artery dissection are initially managed conservatively with antiplatelet and anticoagulants, some patients may require endovascular or occasionally surgical treatment. In our case, the celiac artery dissection had already progressed to cause hepatic artery occlusion and secondary collateral formation in the porta hepatis region. We retrospectively analyze the natural course of celiac artery dissection with hepatic artery occlusion in an asymptomatic patient for over 3 years.
孤立性腹腔干动脉夹层（ICAD）是一种罕见疾病，文献中描述的病例超过160例。我们报告了1例在针对隐匿性胃肠道出血进行计算机断层扫描评估时偶然发现的孤立性腹腔干动脉夹层。虽然大多数孤立性腹腔干动脉夹层病例最初采用抗血小板和抗凝药物进行保守治疗，但一些患者可能需要血管内治疗或偶尔进行手术治疗。在我们的病例中，腹腔干动脉夹层已经进展，导致肝动脉闭塞和肝门区继发性侧支形成。我们回顾性分析了1例无症状患者腹腔干动脉夹层伴肝动脉闭塞超过3年的自然病程。
