Hypertensive emergency presenting with an isolated celiac artery dissection: A rare case study

Splenic Artery Aneurysms and Hepatic Artery Dissection

Journal for Vascular Ultrasound ◽

10.1177/154431671604000405 ◽

2016 ◽

Vol 40 (4) ◽

pp. 185-191

Author(s):

Adam E. Jackson

Keyword(s):

Hepatic Artery ◽

Splenic Artery ◽

Treatment Options ◽

Field Testing ◽

Celiac Artery ◽

Mesenteric Arteries ◽

Artery Dissection ◽

Gastric Artery ◽

Child Bearing

Abdominal aorta aneurysms (AAAs) are common in the vascular field. Testing for this phenomenon is rather easy; simply order an AAA screening via ultrasound. What is not common, however, is finding an aneurysm of the much smaller branches of the splanchnic arteries. These arteries consist of the celiac artery (CA), common hepatic artery (CHA), splenic artery (SA), gastric artery, and superior mesenteric (SMA) and inferior mesenteric arteries (IMA). The most common aneurysm location in these vessels is the SA. These aneurysms can prove fatal if ruptured and are most dangerous in young women who are pregnant and of child bearing age. Even more rare than SA, aneurysms are hepatic artery aneurysms and dissections. In one case study from 1995, there had only been 12 cases documented with isolated hepatic artery dissection. With the increase in technology and imaging modalities, small visceral aneurysms are now found much more prevalently. Treatment options for these unique problems are still under debate, as there are a limited number of occurrences and the ability to accurately track the progression of the aneurysms has improved.

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Transcirculation microballoon-assisted coil embolization for dorsal pancreatic artery aneurysm due to celiac artery dissection: A case report

SAGE Open Medical Case Reports ◽

10.1177/2050313x20987340 ◽

2021 ◽

Vol 9 ◽

pp. 2050313X2098734

Author(s):

Yuki Takara ◽

Daisuke Yunaiyama ◽

Toru Saguchi ◽

Natsuhiko Shirota ◽

Takafumi Yamada ◽

...

Keyword(s):

Case Report ◽

Coil Embolization ◽

Balloon Catheter ◽

Artery Aneurysm ◽

Celiac Artery ◽

Endovascular Surgery ◽

Artery Dissection ◽

Dorsal Pancreatic Artery ◽

Pancreatic Artery

The dorsal pancreatic artery is a part of peripancreatic arcade connecting celiac artery to transpancreatic artery. A dorsal pancreatic artery aneurysm derived from dissection of celiac artery is a rare pathology, and it sometimes requires ingenious strategy in an endovascular surgery. Hereby, we report a case of a patient who underwent coil embolization for dorsal pancreatic artery aneurysm due to celiac artery dissection by applying transcirculation approach of a balloon catheter through the peripancreatic arcade, which was successfully achieved.

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Management of Spontaneous Isolated Mesenteric Artery Dissection: A Systematic Review

Scandinavian Journal of Surgery ◽

10.1177/14574969211000546 ◽

2021 ◽

pp. 145749692110005

Author(s):

S. Acosta ◽

F. B. Gonçalves

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Conservative Therapy ◽

Case Series ◽

Celiac Artery ◽

Artery Dissection ◽

Covered Stents ◽

Bowel Infarction

Background and Aims: There are increasing reports on case series on spontaneous isolated mesenteric artery dissection, that is, dissections of the superior mesenteric artery and celiac artery, mainly due to improved diagnostic capacity of high-resolution computed tomography angiography performed around the clock. A few case–control studies are now available, while randomized controlled trials are awaited. Material and Methods: The present systematic review based on 97 original studies offers a comprehensive overview on risk factors, management, conservative therapy, morphological modeling of dissection, and prognosis. Results and Conclusions: Male gender, hypertension, and smoking are risk factors for isolated mesenteric artery dissection, while the frequency of diabetes mellitus is reported to be low. Large aortomesenteric angle has also been considered to be a factor for superior mesenteric artery dissection. The overwhelming majority of patients can be conservatively treated without the need of endovascular or open operations. Conservative therapy consists of blood pressure lowering therapy, analgesics, and initial bowel rest, whereas there is no support for antithrombotic agents. Complete remodeling of the dissection after conservative therapy was found in 43% at mid-term follow-up. One absolute indication for surgery and endovascular stenting of the superior mesenteric artery is development of peritonitis due to bowel infarction, which occurs in 2.1% of superior mesenteric artery dissections and none in celiac artery dissections. The most documented end-organ infarction in celiac artery dissections is splenic infarctions, which occurs in 11.2%, and is a condition that should be treated conservatively. The frequency of ruptured pseudoaneurysm in the superior mesenteric artery and celiac artery dissection is very rare, 0.4%, and none of these patients were in shock at presentation. Endovascular therapy with covered stents should be considered in these patients.

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Distal Cervical Carotid Artery Dissection after Carotid Endarterectomy: A Complication of Indwelling Shunt

International Journal of Vascular Medicine ◽

10.1155/2010/816937 ◽

2010 ◽

Vol 2010 ◽

pp. 1-2 ◽

Cited By ~ 4

Author(s):

Tomonori Tamaki ◽

Node Yoji ◽

Norihiro Saito

Keyword(s):

Carotid Artery ◽

Carotid Endarterectomy ◽

Rare Case ◽

Internal Carotid ◽

Carotid Artery Dissection ◽

Artery Dissection ◽

Internal Carotid Artery Dissection ◽

Surgical Methods ◽

Distal Internal Carotid Artery ◽

Technical Factors

The technical factors and surgical methods employed in carotid endarterectomy are controversial. In particular, whether or not to use an indwelling arterial shunt during carotid endarterectomy remains a source of conflict. We describe a rare case in which uncomplicated carotid endarterectomy was followed by distal internal carotid artery dissection and suggest that this devastating complication was due to intimal damage produced by the use of an indwelling arterial shunt.

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Intralobular septal thickening on chest CT in a patient with pulmonary amyloidosis: a rare case study

Thorax ◽

10.1136/thoraxjnl-2016-209036 ◽

2016 ◽

Vol 72 (7) ◽

pp. 673-674

Author(s):

Yasuhito Suzuki ◽

Junpei Saito ◽

Ryuichi Togawa ◽

Hiroyuki Minemura ◽

Mitsuru Munakata

Keyword(s):

Rare Case ◽

Chest Ct ◽

Pulmonary Amyloidosis

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Peripheral osteoma of the mandibular crest: a short case study

Journal of Oral Medicine and Oral Surgery ◽

10.1051/mbcb/2017020 ◽

2018 ◽

Vol 24 (1) ◽

pp. 29-32

Author(s):

Arthur Fourcade ◽

Benjamin Salmon ◽

François Le Pelletier ◽

Anne-Laure Ejeil

Keyword(s):

Cortical Bone ◽

Rare Case ◽

Tooth Extraction ◽

Histological Evaluation ◽

Rare Form ◽

Jaw Bones ◽

Peripheral Osteoma ◽

Slow Growing

Introduction: Osteoma is a benign slow-growing osteogenic neoplasm characterized by the proliferation of cancellous and/or cortical bone. Jaw bones are seldom affected. Observation: We observed a rare case of a patient with a peripheral mandibular osteoma, which was surgically removed. Comments: Frequently asymptomatic, a peripheral osteoma looks like a bony swelling that may be sessile or pedunculated. Imaging examinations show a well-circumscribed radio-opaque mass. Symptomatic osteomas must be surgically excised and submitted for histological evaluation. Conclusion: Excessive osseous healing following a tooth extraction may explain this rare form of osteoma.

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