Copyright
©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 6, 2020; 8(23): 6164-6171
Published online Dec 6, 2020. doi: 10.12998/wjcc.v8.i23.6164
Published online Dec 6, 2020. doi: 10.12998/wjcc.v8.i23.6164
Acute celiac artery occlusion secondary to blunt trauma: Two case reports
Hui Li, Yan-An Xu, Tao Li, Jun Yang, Ping Hu, Tao Ai, Department of Traumatology, Chongqing University Central Hospital, Chongqing 400080, China
Yu Zhao, Department of Radiology, Chongqing University Central Hospital, Chongqing 400080, China
Author contributions: All the authors participated in the treatment of this patient; Li H, Zhao Y, Li T, Yang J, Hu P, and Ai T developed the conclusions; Li H wrote the draft; Zhao Y, Xu YA, Li T and Ai T reviewed the draft; Yang J and Ai T edited the final draft; All authors have read and approve the final version of the manuscript.
Informed consent statement: Written informed consent for publication of the clinical data and images was obtained from the patient.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tao Ai, MD, Attending Doctor, Department of Traumatology, Chongqing University Central Hospital, No. 1 Jiankang Road, Yuzhong District, Chongqing 400080, China. aitao0916@126.com
Received: July 22, 2020
Peer-review started: July 22, 2020
First decision: September 24, 2020
Revised: September 27, 2020
Accepted: October 20, 2020
Article in press: October 20, 2020
Published online: December 6, 2020
Processing time: 134 Days and 21.9 Hours
Peer-review started: July 22, 2020
First decision: September 24, 2020
Revised: September 27, 2020
Accepted: October 20, 2020
Article in press: October 20, 2020
Published online: December 6, 2020
Processing time: 134 Days and 21.9 Hours
Core Tip
Core Tip: We present two cases of acute blunt celiac artery (CA) occlusion. Two patients showed significant differences after CA occlusion. The first patient had clinically evident bleeding from the hepatic artery after liver trauma, while the second patient had obvious gastrointestinal symptoms. Although CA occlusion is extremely rare, our continuous management of two such patients within a week suggests that the incidence of the disease may be underestimated. Early use of enhanced computed tomography examination can help increase the detection rate of CA injury. Due to the establishment of collateral circulation, CA occlusion will not cause obvious organ ischemia, and conservative treatment is safe.