A RARE CASE OF ISOLATED CELIAC ARTERY DISSECTION DIAGNOSED IN THE EMERGENCY DEPARTMENT

Introduction: Spontaneous isolated visceral artery dissection is an uncommon event with an unpredictable natural history and may lead to aneurysmal formation, rupture or arterial occlusion. Pre-disposing factors are not specific. With the development of new imaging modalities, Spontaneous isolated visceral artery dissection can be diagnosed at an early stage and can be treated medically or surgically. Case Report: We report a case of a previously healthy male patient who presented to the emergency department with the complain of tearing kind of back pain radiating to right side of the abdomen for the last 2 hours. The patient was examined and diagnosed with celiac artery dissection. Conservative management was done and patient improved with symptomatic relief. Discussion: Celiac artery dissection in adults are asymptomatic until an insidious injury occurs and will typically present with rare complains. If dissection involves a branch of the hepatic artery, it may cause liver ischemia leading to higher mortality. Conclusion: This case demonstrates the importance of considering advanced imaging as a useful diagnostic tool and importance of immediate management to improve outcome of the patient.