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

Author:

Vecchia Jason1,Blazar Eric2

Affiliation:

1. Clovis Community Medical Center, Department of Emergency Medicine, Clovis, California

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

Abstract

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.

Publisher

Western Journal of Emergency Medicine

Subject

General Medicine

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