Successful percutaneous embolization of a symptomatic celiac artery dissection with aneurysmal dilation with detachable vascular plugs.

Abstract

This report describes a 43-year-old man with a history of acute abdominal pain with shock. Emergency intervention was decided. No evidence of active bleeding was found. A contrast-enhanced computed tomography scan after the intervention revealed a celiac artery dissection with an intimal flap, with associated aneurysmal dilation. The patient was referred to our institution for endovascular management by upstream and downstream occlusion. Coils and detachable vascular plugs were successfully deployed to occlude the aneurysm. Vascular plugs are easy to use, reduce costs, and shorten the duration of the procedure. A contrast-enhanced computed tomography scan at 9 months showed complete occlusion of the aneurysm.