A Missed Celiac Artery Aneurysm Leading to Rupture: A Case Report

INTRODUCTION: Abdominal pain is a common complaint seen in the emergency department (ED). We report a case of celiac artery aneurysm (CAA) in a male patient presenting with abdominal pain to the ED on two separate occasions, approximately 24 hours apart. CASE REPORT: On the initial visit the patient...

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Detalles Bibliográficos
Autores principales: Vecchia, Jason Della, Blazar, Eric
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434271/
https://www.ncbi.nlm.nih.gov/pubmed/32926707
http://dx.doi.org/10.5811/cpcem.2020.6.46513
Descripción
Sumario:INTRODUCTION: Abdominal pain is a common complaint seen in the emergency department (ED). We report a case of celiac artery aneurysm (CAA) in a male patient presenting with abdominal pain to the ED on two separate occasions, approximately 24 hours apart. CASE REPORT: On the initial visit the patient was discharged with undifferentiated abdominal pain after computed tomography imaging and laboratory investigations. On the repeat visit he was found to have a rapidly expanding CAA with rupture. He became unstable requiring intubation, blood transfusions, and emergent transfer to a tertiary care center for surgical management where, unfortunately, he died hours after failed operative management. CONCLUSION: Although rare, abdominal pain caused by CAAs can rapidly progress to rupture and have a high mortality.

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