Am J Emerg Med. 2020 Jul;38(7):1545.e3-1545.e5. doi: 10.1016/j.ajem.2020.04.041. Epub 2020 May 6.
Spontaneous celiac artery dissection is a rare visceral artery dissection that typically presents with acute abdominal or flank pain.
We describe a case of a 54-year old previously healthy male who presented to the Emergency Department with subacute back pain and was found to have a spontaneous celiac artery dissection. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Emergency medicine physicians frequently consider acute aortic dissection in patients presenting to the Emergency Department with acute chest, back, and/or upper abdominal pain. Less commonly thought of are variations of arterial dissection, including those involving the celiac artery. Given readily available diagnostic imaging modalities and therapeutic interventions, it remains important to consider visceral arterial dissection, and to recognize the varied clinical manifestations of this rare clinical entity.
自发性腹腔动脉夹层是一种罕见的内脏动脉夹层，通常表现为急性腹痛或腰痛。
我们描述了一例 54 岁的既往健康男性，因亚急性背痛就诊于急诊科，被发现患有自发性腹腔动脉夹层。
为什么急诊医生应该对此有所了解？：急诊科医生经常考虑急性主动脉夹层的患者在急诊科就诊时出现急性胸痛、背痛和/或上腹痛。不太常见的是动脉夹层的变化，包括涉及腹腔动脉的夹层。鉴于现有的诊断成像方式和治疗干预措施，仍然需要考虑内脏动脉夹层，并认识到这种罕见临床实体的各种临床表现。
