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Case Reports
Celiac Artery Compression After a Spine Fracture, and Pericardium Rupture After Blunt Trauma: A Case Report from a Single Injury
Joongsuck Kim, Hyun Min Cho, Sung Hwan Kim, Seong Hoon Jung, Jeong Eun Sohn, Kwangmin Lee
J Trauma Inj. 2021;34(2):130-135.   Published online June 10, 2021
DOI: https://doi.org/10.20408/jti.2020.0053
  • 3,368 View
  • 70 Download
AbstractAbstract PDF

Celiac artery compression is a rare condition in which the celiac artery is compressed by the median arcuate ligament. Case reports of compression after trauma are hard to find. Blunt traumatic pericardium rupture is also a rare condition. We report a single patient who experienced both rare conditions from a single blunt injury. An 18-year-old woman was brought to the trauma center after a fatal motorcycle accident, in which she was a passenger. The driver was found dead. Her vital signs were stable, but she complained of mild abdominal pain, chest wall pain, and severe back pain. There were no definite neurologic deficits. Her initial computed tomography (CT) scan revealed multiple rib fractures, moderate lung contusions with hemothorax, moderate liver injury, and severe lumbar spine fracture and dislocation. She was brought to the angiography room to check for active bleeding in the liver, which was not apparent. However, the guide wire was not able to pass through the celiac trunk. A review of the initial CT revealed kinking of the celiac trunk, which was assumed to be due to altered anatomy of the median arcuate ligament caused by spine fractures. Immediate fixation of the vertebrae was performed. During recovery, her hemothorax remained loculated. Suspecting empyema, thoracotomy was performed at 3 weeks after admission, revealing organized hematoma without pus formation, as well as rupture of the pericardium, which was immediately sutured, and decortication was carried out. Five weeks after admission, she had recovered without complications and was discharged home.

Summary
Isolated Dissection of the Celiac Artery after Blunt Trauma: A Case Report and Review of Literature
Ahram Han, Jihun Gwak, Gangkook Choi, Jae Jeong Park, Byungchul Yu, Gil Jae Lee, Jin Mo Kang
J Trauma Inj. 2017;30(4):220-226.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.220
  • 6,197 View
  • 106 Download
  • 7 Citations
AbstractAbstract PDF

Traumatic dissection of the celiac artery without aortic dissection is a rare event. Here we describe two cases of celiac artery dissection after blunt abdominal trauma managed conservatively without surgical or endovascular intervention.

Summary

Citations

Citations to this article as recorded by  
  • Isolated celiac artery injury: Brief report, review of literature, and suggested grading guidelines
    Kanani Fahim, Neeman Uri, Hashavia Eyal, Timor Idit, Soffer Dror, Shimonovich Shachar
    Trauma.2024;[Epub]     CrossRef
  • Endovascular Stenting in a Rare Case of Multiple Spontaneous Visceral Arterial Dissections
    Jacxelyn Moran, Naveen Galla, Mona Ranade
    Vascular and Endovascular Surgery.2021; 55(3): 269.     CrossRef
  • Evaluation of isolated abdominal visceral artery dissection with multi-scale spiral computed tomography: a retrospective case series
    Qizhou He, Fei Yu, Yajun Fu, Bin Yang, Ran Huo, Rong Xian, Shulan Liu, Kali Liang, Guangcai Tang
    Journal of Cardiothoracic Surgery.2021;[Epub]     CrossRef
  • Diagnosis and treatment of isolated celiac artery dissection following blunt trauma: A case report
    Tohru Ishimine, Takahiro Ishigami, Kohei Chida, Kyohei Kawasaki, Naoki Taniguchi, Toshiho Tengan
    International Journal of Surgery Case Reports.2021; 89: 106617.     CrossRef
  • Retrospective Analysis and Systematic Review of Isolated Traumatic Dissections of the Celiac Artery
    Jens Birkl, Thomas Kahl, Henryk Thielemann, Sven Mutze, Leonie Goelz
    Annals of Vascular Surgery.2020; 66: 250.     CrossRef
  • Traumatic dissection of the coeliac artery and splenic injury following blunt trauma
    Bobby Vincent Li, Ramesh Damodaran Prabha, Maruthi Narra, Hung Nguyen
    BMJ Case Reports.2019; 12(8): e229405.     CrossRef
  • Symptomatic Isolated Celiac Artery Dissection following Blunt Trauma
    Sang Bong Lee, Hyuk Jae Jung, Jae Hun Kim
    Journal of Acute Care Surgery.2019; 9(2): 76.     CrossRef
Celiac Artery Dissection after Abdominal Blunt Trauma
Yun Suhk Suh, Seong Chun Kim, Hwan Do Ra, Ho Seong Han
J Korean Soc Traumatol. 2006;19(2):196-200.
  • 1,283 View
  • 0 Download
AbstractAbstract PDF
We report a case of celiac artery dissection after abdominal blunt trauma. A 29-year-old man visited the emergency room for acute left periumbilical pain after abdominal blunt trauma from his child. Computed tomography showed a wedge-shaped splenic infarction with splenic artery thrombus. He was hospitalized for careful observation, and after two days, follow-up computed tomographic angiography showed a progressed celiac artery dissection that involved common hepatic artery and an increased extent of splenic infarction. He underwent conventional angiography, and a self-expandable stent was placed between the celiac axis and the common hepatic artery. After two days, follow-up computed tomographic angiography showed good hepatic arterial blood flow via the stent and no progression of splenic infarction. After ten days, he was discharged without complications.
Summary

J Trauma Inj : Journal of Trauma and Injury