Open AccessCoeliac trunk dissection causing splenic infarction: a comprehensive review
Author(s) -
Yousaf Zafar,
Laura Meidl,
Maddison Lonney,
Waqas Ullah,
Mamoon Ur Rashid
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-231087
Subject(s) - medicine , splenic artery , trunk , splenic infarction , epigastric pain , aspirin , dissection (medical) , abdomen , surgery , infarction , angiography , abdominal pain , radiology , spleen , myocardial infarction , ecology , vomiting , biology
We describe the case of a 49-year-old man who presented with a 6-day history of epigastric abdominal pain radiating to his right shoulder which started suddenly after swinging a golf club. A CT angiography of the abdomen was performed which showed dissection of the coeliac trunk extending into the splenic artery and splenic infarct. Anticoagulation was initially started but discontinued due to a small retroperitoneal haemorrhage. The patient remained stable and was discharged on aspirin 325 mg for 1 month followed by aspirin 81 mg. We present this case as well as a review of previously reported cases of splenic infarct due to spontaneous coeliac trunk dissection with the treatments employed as well as the outcomes.