Spontaneous dissection of the celiac trunk: report of three cases and review of the literature Dissecção espontânea do tronco celíaco: relato de três casos e revisão de literatura
2014
Abstract Spontaneous dissection of the celiac trunk is quite an uncommon medical condition, with few case reports in the medical literature. Sudden epigastric abdominal pain is the most common complaint reported by patients, but due to the rarity of this disease in clinical practice and the nonspecific nature of its symptoms, a high degree of clinical suspicion is needed to establish diagnosis. However, improvements in imaging techniques are facilitating diagnosis of this clinical entity, increasing its detection rate. The ideal treatment has not yet been fully established in the literature and the available therapeutic strategies are conservative medical treatment, surgical revascularization or endovascular intervention. In this article we report on three cases of spontaneous dissection of the celiac trunk and conduct a review of the literature on this diseaseKeywords: dissection; acute pain; celiac artery. Resumo A disseccao espontânea do tronco celiaco e uma condicao medica incomum, com poucos relatos de casos publicados na literatura medica. A dor abdominal subita no epigastrio e o sintoma mais frequentemente manifestado pelos pacientes; porem, devido a raridade dessa doenca na pratica clinica e a inespecificidade de seus sintomas, e necessario um alto grau de suspeicao para o estabelecimento do seu diagnostico. Nesse contexto, o aperfeicoamento das tecnicas de exames de imagem vem possibilitando o diagnostico desta entidade clinica com maior facilidade, aumentando a sua taxa de deteccao. O tratamento ideal ainda nao esta completamente bem estabelecido na literatura, sendo que as estrategias terapeuticas disponiveis sao o tratamento medico conservador, a revascularizacao cirurgica e a intervencao endovascular. Neste artigo, nos relatamos tres casos de disseccao espontânea do tronco celiaco e realizamos uma revisao de literatura sobre esta doenca.Palavras-chave: disseccao; dor aguda; arteria celiaca.
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