Spontaneous isolated left gastric artery dissection: unusual visceral artery dissection

Abstract

Case A 51‐year‐old woman visited our emergency department complaining of acute onset of upper abdominal pain and nausea. Abdominal contrast‐enhanced computed tomography showed an isolated left gastric artery dissection and pseudoaneurysm. After conservative management for 6 days, endovascular embolization was carried out for treatment of the pseudoaneurysm. Spontaneous dissection of a visceral artery rarely occurs in the case of a left gastric artery. Outcome Contrast‐enhanced computed tomography is essential to make an accurate diagnosis and establish a therapeutic strategy. Conclusion We should consider the occurrence of minor visceral artery dissection if a patient has acute abdominal pain without other obvious causes.

Keywords

• Contrast‐enhanced computed tomography
• left gastric artery dissection
• visceral artery dissection