Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 4, Number 5, May 2013, pages 280-283

Celiac Artery Avulsion Secondary to Blunt Trauma: A Case Report and Review of the Literature

Figures

Figure 1.
Figure 1. Axial cut CT scan of disruption of celiac artery with associated retroperitoneal hematoma. The white arrow highlights the small retroperitoneal hematoma. The black arrow highlights the disruption of the celiac artery from the aorta.
Figure 2.
Figure 2. Sagittal reconstruction CT scan demonstrating the disruption of the celiac artery and associated retroperitoneal hematoma. The black arrows demonstrate the discontinuity of the celiac axis origin.

Table

Table 1. Literature Review of Blunt Traumatic Celiac Artery Injuries
 
StudyYearNAGEMechanismSigns and SymptomsFindingsInterventionOutcome
Brown1998124 MMVCRUQ pain, hypotensive, tachycardicSplenic Lac, SMV and CA disruptionSMA bypass with RSVIntraoperative Death
Schreiber1998136 MMVCElevated Liver enzymes, small liver laceration, multiple rib fractures, pelvic fracturesLiver perfusion defects, splenic poor enhancementNoneHepatic reperfusion, splenic infarction
Asensio200513Penetrating 12, Blunt 1xxLigation 11, PR1, ExS 138% Mortality
Suchak2005141 MMVCSudden Epigastric pain on HD 3Initial CT:WNL HD3 CT: CA intimal flapStentResolution of pain
Linuma2006139 MCrushed by Truck tailgateEpigastric Pain, hypotensionExtravasation around CALigationDischarged HD 16
Kirchhoff2007166 MMVCProgressive hepatic failureInitial CT: WNL, HD5: CT: CA with initial flap, and intramural thrombusNoneDeath, HD7 fulminant hepatic failure
Gorra2009129 MFall from 9 mNoneStranding around origin of CAAnticoagulation 3monthsCA occluded, patient asymptomatic
Colonna2010117 MMVCHypotensive, Tachycardic, GCS 3tCA AvulsionLigationDischarged HD 27