Unusual cause of upper gastrointestinal hemorrhage: spontaneous dissection of the celiac trunk.
Affiliation: Department of Gastroenterology, Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey.Show MeSH
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Mentions: Endoscopy revealed pulsatile submucosal arterial vascular collaterals with nipple sign in stomach [Figure 1]. There was a small amount of fresh blood in stomach, but no active bleeding. He was treated conservatively and remained asymptomatic in follow-up. Abdominal-enhanced computed tomography (CT) showed dissection of the celiac trunk and enhancement perigastric and gastric intramural vascular collaterals due to chronic ischemia caused by celiac artery dissection [Figure 1].
Affiliation: Department of Gastroenterology, Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey.