Resident's Forum |

Asymptomatic Isolated Celiac Artery Dissection After a Fall

Adam S. Gorra, MD; Derek Mittleider, MD; David E. Clark, MD, MPH; Michael Gibbs, MD
Arch Surg. 2009;144(3):279-281. doi:10.1001/archsurg.2009.22.
Text Size: A A A
Published online

Isolated injury to mesenteric vessels in blunt trauma is uncommon. Most patients with these injuries present with abdominal pain, shock, or laboratory evidence of bowel and/or liver ischemia. We report herein the case of a man with asymptomatic isolated celiac artery dissection after blunt trauma suspected by screening abdominal computed tomography and confirmed by catheter-based angiography. The patient was treated with 3 months of oral anticoagulation alone.

Figures in this Article

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours


Place holder to copy figure label and caption
Figure 1.

Contrast-enhanced sagittal computed tomographic image in the midline does not demonstrate a discrete celiac artery origin (arrow). Periarterial stranding is noted about the celiac origin.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 2.

Delayed lateral digital subtraction angiogram demonstrates opacification of the splenic artery (thick arrow) and hepatic artery (thin arrow) via collateral flow through the gastroduodenal artery (curved arrow). The celiac artery origin (arrowhead) continues to poorly opacify.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 3.

Axial computed tomographic angiogram obtained 3 months after the inciting trauma demonstrates occlusion of the celiac artery at its origin (arrow). The hepatic and splenic arteries enhance homogeneously.

Graphic Jump Location




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles