PMC4706899_01
Axial enhanced CT scan shows (a) an intimal dissection of the celiac artery with opacification of true and false lumen, (b) a dissection membrane in the splenic artery causing poor contrast flow and thrombosis of the false lumen, and (c) a posterolateral splenic infarction.
CRIVAM2015-194079.001.jpg
PMC4706899_01_CRIVAM2015-194079.001.jpg
fig1
The hepatic, superior mesenteric, and aortic artery showed normal features but stigmata of splenic infarction were noted with partial thrombosis at the splenic hilum (Figure 1).
Control CT scan after one month. (a) Sagittal contrast-enhanced CT scan shows ectasia of the celiac artery and stability of intimal dissection compared to the previous scan. (b) 3D reconstruction of the aorta and branch vessels shows patent splenic artery.
CRIVAM2015-194079.002.jpg
PMC4706899_01_CRIVAM2015-194079.002.jpg
fig2
Follow-up CT scan performed one month later showed a stable celiac artery dissection with repermeabilisation of the splenic artery (Figure 2).