Dissecção espontânea do tronco celíaco: qual a melhor abordagem terapêutica?

Spontaneous dissection of visceral arteries is a quite rare event. Sudden abdominal pain in the epigastrium is the most frequent symptom. Advances in imaging techniques have made it easier to establish the diagnosis of this event, increasing the incidence of dissections of visceral arteries. Conserv...

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Bibliographic Details
Authors: Galastri, Francisco Leonardo; Nasser, Felipe; Affonso, Breno Boueri; Amorim, Jorge Eduardo de [UNIFESP]; Travassos, Fabiellen Berzoini
Format: Article
Status:Published version
Publication date:2013
Country:Brasil
Institution:UNIFESP
Repository:Repositório Institucional da UNIFESP
Language:Portuguese
OAI Identifier:oai:repositorio.unifesp.br:11600/7653
Online Access:http://dx.doi.org/10.1590/S1677-54492013000100014
http://repositorio.unifesp.br/handle/11600/7653
Access Level:Open access
Keyword:celiac trunk
spontaneous dissection
endovascular
tronco celíaco
dissecção espontânea
Description
Summary:Spontaneous dissection of visceral arteries is a quite rare event. Sudden abdominal pain in the epigastrium is the most frequent symptom. Advances in imaging techniques have made it easier to establish the diagnosis of this event, increasing the incidence of dissections of visceral arteries. Conservative medical treatment, surgical revascularization, and endovascular therapy are the three treatment options available. We report two cases of patients with spontaneous dissection of the celiac trunk that received different treatments based on clinical presentation and imaging studies. We also conducted a literature review on this disease.