Isolated Spontaneous Dissection of the Celiac Artery: Report of Two Cases

Yutaka Takayama; Mikiya Takao; Takafumi Inoue; Fuyo Yoshimi; Ken Koyama; Hideo Nagai

doi:10.3400/avd.cr.13-00102

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Isolated Spontaneous Dissection of the Celiac Artery: Report of Two Cases

Yutaka Takayama, Mikiya Takao, Takafumi Inoue, Fuyo Yoshimi, Ken Koyama, Hideo Nagai

著者情報

キーワード: celiac artery, dissection, conservative therapy

ジャーナルフリー早期公開

論文ID: cr.13-00102

DOI https://doi.org/10.3400/avd.cr.13-00102

この記事には本公開記事があります。

The final version of this article is now available: Vol. 7 (2014), No. 1 pp. 64-67

詳細

抄録

Isolated spontaneous dissection of the celiac artery (DCA) is extremely rare and its therapeutic strategy is still not established. We report two cases of DCA, in which 58-year-old and 43-year-old male patients with right hypogastralgia and back pain, respectively, were diagnosed by enhanced computed tomography and treated conservatively with antihypertensive agents. They were doing well under circumspect medical management without recurrence of symptoms or progression of dissection after 3.5 years and 3 months, respectively, after detection of DCA. Conservative treatment with blood pressure control and careful surveillance is considered to be applicable in most cases of DCA.

責任著者(Corresponding author)

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