SPONTANEOUS ISOLATED CELIAC AND SUPERIOR MESENTERIC ARTERY DISSECTION: CASE REPORT WITH LITERATURE REVIEW

Introduction: Spontaneous isolated celiac and superior mesenteric artery dissection is rare, but it might have been underestimated due to the possibly occult presenting symptoms and good outcomes. The natural history is unpredicatable due to its large variations of the clinical features. Case presentation: A 50-year-old patient had complained of abdominal pain. Abdominal computed tomography revealed spontaneous isolated celiac and superior mesenteric artery dissection. He was conservatively managed with nitroglycerin infusion, atropine injection and warfarin intake and his pain was relieved soon. Conclusions: There have been no established therapeutic alogrithms for the management of the spontaneous isolated splanchnic artery dissection. Conservative treatment is preserved for most patients with stable hemodynamics. In the condition of unstable hemodynamics, progression of dissection and signs of splanchnic ischemia, a surgical, interventional, or hybrid treatment is warranted.