BMJ Case Reports 2013; doi:10.1136/bcr-2013-009605

A rare cause of epigastric pain in a middle-aged man

  1. Peter Goulden
  1. Department of Diabetes and Endocrinology, Maidstone Hopsital, Maidstone and Tunbridge Wells NHS Trust, Kent, UK
  1. Correspondence to Rannie Nahas, Postgraduate Centre, Maidstone Hospital, Hermitage Lane, Maidstone, Kent ME16 9QQ, UK; rannienahas{at}


A 50-year-old man presents to the emergency department with epigastric pain and is found to have severe hypertension on clinical examination. After admission to hospital, further investigation with CT imaging reveals the patient has an uncomplicated splenic artery dissection. Conservative management is chosen as advised by a vascular surgery team and the patient was subsequently discharged from hospital with warfarin anticoagulation and antihypertensive medicines. This case report aims to build a profile of a patient who may present with splenic artery dissection and details our recommended management plan.

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