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Acalculous Ischemic Cholecystitis Caused by Spontaneous Celiac Artery Dissection

We herein report a case of spontaneous isolated dissection of the celiac artery. A Japanese man in his 50s visited an emergency unit, complaining of sudden epigastralgia. Contrast-enhanced computed tomography indicated dissection of the celiac artery with patent false and true lumina, extending to t...

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Autores principales: Yamamoto, Hiroto, Matsuoka, Ryota, Tsuyuki, Yoshiaki, Kamimura, Kazuyasu, Tsukamoto, Kei, Tachibana, Mitsuhiro, Aoyama, Takeshi, Kanamori, Norio, Tsutsumi, Yutaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8810253/
https://www.ncbi.nlm.nih.gov/pubmed/34176844
http://dx.doi.org/10.2169/internalmedicine.7793-21
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author Yamamoto, Hiroto
Matsuoka, Ryota
Tsuyuki, Yoshiaki
Kamimura, Kazuyasu
Tsukamoto, Kei
Tachibana, Mitsuhiro
Aoyama, Takeshi
Kanamori, Norio
Tsutsumi, Yutaka
author_facet Yamamoto, Hiroto
Matsuoka, Ryota
Tsuyuki, Yoshiaki
Kamimura, Kazuyasu
Tsukamoto, Kei
Tachibana, Mitsuhiro
Aoyama, Takeshi
Kanamori, Norio
Tsutsumi, Yutaka
author_sort Yamamoto, Hiroto
collection PubMed
description We herein report a case of spontaneous isolated dissection of the celiac artery. A Japanese man in his 50s visited an emergency unit, complaining of sudden epigastralgia. Contrast-enhanced computed tomography indicated dissection of the celiac artery with patent false and true lumina, extending to the splenic and common hepatic arteries. On day 3 of hospitalization, the dissection progressed to the proper and right hepatic arteries. Progression of the dissection to the right hepatic artery provoked acalculous ischemic cholecystitis, and cholecystectomy followed. The resected gallbladder revealed extensive aseptic necrosis with little inflammatory reaction, and the gallbladder neck was spared from ischemia.
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spelling pubmed-88102532022-02-15 Acalculous Ischemic Cholecystitis Caused by Spontaneous Celiac Artery Dissection Yamamoto, Hiroto Matsuoka, Ryota Tsuyuki, Yoshiaki Kamimura, Kazuyasu Tsukamoto, Kei Tachibana, Mitsuhiro Aoyama, Takeshi Kanamori, Norio Tsutsumi, Yutaka Intern Med Case Report We herein report a case of spontaneous isolated dissection of the celiac artery. A Japanese man in his 50s visited an emergency unit, complaining of sudden epigastralgia. Contrast-enhanced computed tomography indicated dissection of the celiac artery with patent false and true lumina, extending to the splenic and common hepatic arteries. On day 3 of hospitalization, the dissection progressed to the proper and right hepatic arteries. Progression of the dissection to the right hepatic artery provoked acalculous ischemic cholecystitis, and cholecystectomy followed. The resected gallbladder revealed extensive aseptic necrosis with little inflammatory reaction, and the gallbladder neck was spared from ischemia. The Japanese Society of Internal Medicine 2021-06-26 2022-01-01 /pmc/articles/PMC8810253/ /pubmed/34176844 http://dx.doi.org/10.2169/internalmedicine.7793-21 Text en Copyright © 2022 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Yamamoto, Hiroto
Matsuoka, Ryota
Tsuyuki, Yoshiaki
Kamimura, Kazuyasu
Tsukamoto, Kei
Tachibana, Mitsuhiro
Aoyama, Takeshi
Kanamori, Norio
Tsutsumi, Yutaka
Acalculous Ischemic Cholecystitis Caused by Spontaneous Celiac Artery Dissection
title Acalculous Ischemic Cholecystitis Caused by Spontaneous Celiac Artery Dissection
title_full Acalculous Ischemic Cholecystitis Caused by Spontaneous Celiac Artery Dissection
title_fullStr Acalculous Ischemic Cholecystitis Caused by Spontaneous Celiac Artery Dissection
title_full_unstemmed Acalculous Ischemic Cholecystitis Caused by Spontaneous Celiac Artery Dissection
title_short Acalculous Ischemic Cholecystitis Caused by Spontaneous Celiac Artery Dissection
title_sort acalculous ischemic cholecystitis caused by spontaneous celiac artery dissection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8810253/
https://www.ncbi.nlm.nih.gov/pubmed/34176844
http://dx.doi.org/10.2169/internalmedicine.7793-21
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