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

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. Conserv...

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Detalles Bibliográficos
Autores: Galastri, Francisco Leonardo, Nasser, Felipe, Affonso, Breno Boueri, Amorim, Jorge Eduardo de [UNIFESP], Travassos, Fabiellen Berzoini
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2013
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/7653
Acceso en línea:http://dx.doi.org/10.1590/S1677-54492013000100014
http://repositorio.unifesp.br/handle/11600/7653
Access Level:acceso abierto
Palabra clave:celiac trunk
spontaneous dissection
endovascular
tronco celíaco
dissecção espontânea
Descripción
Sumario: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.