Case Reports
Vol. 20 No. 1 (2026)
Unveiling silent threats: incidental diagnosis and conservative management of spontaneous isolated celiac artery dissection
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Published: 20 January 2026
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Spontaneous isolated celiac artery dissection (SICAD) is a rare vascular disorder involving a dissecting lesion confined to the celiac trunk, often detected incidentally due to advances in computed tomography (CT). We report the case of a 60-year-old asymptomatic woman in oncologic follow-up, in whom contrast-enhanced CT revealed a chronic isolated celiac artery dissection with a double lumen and preserved distal flow. No ischemic or aneurysmal complications were observed. Conservative management with antiplatelet therapy and strict blood pressure control was initiated, with stable CT findings at 6- and 12-month follow-up. This case highlights the central role of CT in diagnosing, characterizing, and monitoring SICAD. Current evidence supports a conservative approach in asymptomatic patients, reserving endovascular intervention for complicated or progressive cases. Integration of advanced imaging protocols and updated vascular guidelines enables precise risk stratification and reduces unnecessary invasive procedures, improving patient outcomes.
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How to Cite
Unveiling silent threats: incidental diagnosis and conservative management of spontaneous isolated celiac artery dissection. (2026). Italian Journal of Medicine, 20(1). https://doi.org/10.4081/itjm.2026.2385
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