Symptomatic Celiac Artery Aneurysm Managed with Celiac Plexus Ablation
Shiwei Huang *
Department of Medicine, Drexel University School of Medicine, 2900 W Queen Ln, Philadelphia, PA, 19129, USA.
Muhammad Azharuddin
Department of Internal Medicine, Monmouth Medical Center, 300 2nd Ave, Long Branch, NJ, 07740, USA.
Prudence Kho Dy
Department of Internal Medicine, Monmouth Medical Center, 300 2nd Ave, Long Branch, NJ, 07740, USA.
Wael Ghali
Department of Internal Medicine, Monmouth Medical Center, 300 2nd Ave, Long Branch, NJ, 07740, USA.
Faisal Naseer
Civil Hospital Karachi, Karachi, Pakistan.
*Author to whom correspondence should be addressed.
Abstract
A 57-year-old male presented to the ED complaining of severe abdominal pain. Further investigations ruled out gastritis and gastroparesis. Computed tomography (CT) angiography of the abdomen revealed a dissecting aneurysm with a maximum diameter of 1.5 cm at the celiac trunk extending into proximal splenic artery with mural thrombosis. Due to the patient’s medical history, surgical or endovascular repair of the aneurysm carried too much risk. The patient was discharged to home, and symptoms were managed with pain management and celiac plexus ablation as an adjunct to pain medications.
Keywords: Celiac artery aneurysm, celiac plexus ablation, surgery, rupture, endovascular repair.