Abstract
IntroductionAbdominal pain is a common complaint seen in the emergency department (ED). We report a case of celiac artery aneurysm (CAA) in a male patient presenting with abdominal pain to the ED on two separate occasions, approximately 24 hours apart.Case ReportOn the initial visit the patient was discharged with undifferentiated abdominal pain after computed tomography imaging and laboratory investigations. On the repeat visit he was found to have a rapidly expanding CAA with rupture. He became unstable requiring intubation, blood transfusions, and emergent transfer to a tertiary care center for surgical management where, unfortunately, he died hours after failed operative management.ConclusionAlthough rare, abdominal pain caused by CAAs can rapidly progress to rupture and have a high mortality.
Highlights
Abdominal pain is a common complaint seen in the emergency department (ED)
We report a case of celiac artery aneurysm (CAA) in a male patient presenting with abdominal pain to the ED on two separate occasions, approximately 24 hours apart
Case Report: On the initial visit the patient was discharged with undifferentiated abdominal pain after computed tomography imaging and laboratory investigations
Summary
Section Editor: Anna McFarlin, MD Submission history: Submitted January 13, 2020; Revision received June 2, 2020; Accepted June 10, 2020 Electronically published July 14, 2020 Full text available through open access at http://escholarship.org/uc/uciem_cpcem DOI: 10.5811/cpcem.2020.6.46513
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