Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492013000100014
Jornal Vascular Brasileiro
Case report

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

Spontaneous dissection of the celiac trunk: what is the best therapeutic approach?

Francisco Leonardo Galastri; Felipe Nasser; Breno Boueri Affonso; Jorge Eduardo de Amorim; Fabiellen Berzoini Travassos

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Resumo

A dissecção espontânea das artérias viscerais é um evento relativamente raro. Dor abdominal súbita no epigástrio é o sintoma mais frequentemente manifestado pelos pacientes. O avanço das técnicas de exames de imagem possibilitou o diagnóstico deste evento com maior facilidade, aumentando a incidência das dissecções das artérias viscerais. O tratamento clínico conservador, a revascularização cirúrgica, e a terapia endovascular são as três possíveis opções terapêuticas. Neste artigo, relatamos os casos de dois pacientes com dissecção espontânea do tronco celíaco conduzidos de formas diversas, de acordo com a apresentação clínica e exames de imagem, além de realizar uma revisão bibliográfica sobre esta doença.

Palavras-chave

tronco celíaco, dissecção espontânea, endovascular

Abstract

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.

Keywords

celiac trunk, spontaneous dissection, endovascular

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