Left Massive Hemothorax Caused by Celiac Artery Aneurysm Rupture-A Case Report

Celiac artery aneurysm (CAA) is a rare form of visceral artery aneurysm. Most patients are diagnosed as having CAA when they are symptomatic or incidentally detected. We present the case of a 31-year-old female who had epigastric discomfort followed by left massive hemothorax after nausea, and vomiting with hematemesis. She was first diagnosed with esophageal rupture. After further examination, CAA with rupture was suspected. Severe epigastric pain developed on day 9 after hospitalization. Aortic stenting with a superior mesenteric artery (SMA) chimney and embolization of the pseudoaneurysm were performed. Antibiotics were prescribed, and she was then discharged uneventfully. We reviewed the literature regarding the symptoms, diagnosis and treatment of CAA. The incidence of CAA is low, and the symptoms of epigastric pain followed by left massive hemothorax after vomiting could be confused with esophageal rupture initially. We should keep this uncommon disease in mind and deal with patients carefully.