A Missed Celiac Artery Aneurysm Leading to Rupture: A Case Report.

Clin Pract Cases Emerg Med

Inspira Medical Center, Department of Emergency Medicine, Vineland, New Jersey.

Published: August 2020

Introduction: Abdominal pain is a common complaint seen in the emergency department (ED). We report a case of celiac artery aneurysm (CAA) in a male patient presenting with abdominal pain to the ED on two separate occasions, approximately 24 hours apart.

Case Report: On the initial visit the patient was discharged with undifferentiated abdominal pain after computed tomography imaging and laboratory investigations. On the repeat visit he was found to have a rapidly expanding CAA with rupture. He became unstable requiring intubation, blood transfusions, and emergent transfer to a tertiary care center for surgical management where, unfortunately, he died hours after failed operative management.

Conclusion: Although rare, abdominal pain caused by CAAs can rapidly progress to rupture and have a high mortality.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434271PMC
http://dx.doi.org/10.5811/cpcem.2020.6.46513DOI Listing

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