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Journal of the Korean Society of Traumatology 2006;19(2):196-200.
Celiac Artery Dissection after Abdominal Blunt Trauma
Yun Suhk Suh, Seong Chun Kim, Hwan Do Ra, Ho Seong Han
1Department of Surgery, Seoul National University, College of Medicine, Seoul, Korea.
2Department of Emergency Medicine, Seoul National University, College of Medicine, Seoul, Korea.
3Department of Surgery, Seoul National University Bundang Hospital, Gyeonggi, Korea. hanhs@snubh.org
복부 둔상 후 발견된 복강동맥 박리 1례
서윤석.김성춘*.라환도**.한호성**
서울대학교 의과대학 외과학교실, 서울대학교 의과대학 응급의학교실*
분당 서울대학교병원 외과**
Abstract
We report a case of celiac artery dissection after abdominal blunt trauma. A 29-year-old man visited the emergency room for acute left periumbilical pain after abdominal blunt trauma from his child. Computed tomography showed a wedge-shaped splenic infarction with splenic artery thrombus. He was hospitalized for careful observation, and after two days, follow-up computed tomographic angiography showed a progressed celiac artery dissection that involved common hepatic artery and an increased extent of splenic infarction. He underwent conventional angiography, and a self-expandable stent was placed between the celiac axis and the common hepatic artery. After two days, follow-up computed tomographic angiography showed good hepatic arterial blood flow via the stent and no progression of splenic infarction. After ten days, he was discharged without complications.
Key Words: Celiac artery dissection; Abdominal blunt trauma; Stent


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