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Case report
Coeliac trunk dissection causing splenic infarction: a comprehensive review
  1. Yousaf Zafar1,
  2. Laura Meidl1,
  3. Maddison Lonney1,
  4. Waqas Ullah2 and
  5. Mamoon Ur Rashid3
  1. 1Internal Medicine, University of Missouri Kansas City, Kansas City, MO, USA
  2. 2Internal Medicine, Abington Jefferson Health, Abington, PA, USA
  3. 3Internal Medicine, AdventHealth, ‎Orlando‎, FL, USA
  1. Correspondence to Dr Waqas Ullah; waqasullah.dr{at}gmail.com

Abstract

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.

  • vascular surgery
  • gastroenterology
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Footnotes

  • Twitter @vakasullah

  • Contributors YZ and LM helped write the case presentation, discussion and reviewed all the relevant cases present in literature. ML helped with the discussion. WU helped with reviewing the entire case. All authors contributed to the final manuscript. MUR helped in improving the manuscript in revision.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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