Akademik Veri Yönetim Sistemi
JOURNAL OF EMERGENCY MEDICINE CASE REPORTS, cilt.16, sa.3, ss.122-125, 2025 (ESCI)
Spontaneous hepatic artery dissection is an extremely rare subtype of isolated visceral artery dissection (IVAD) and often presents with nonspecific abdominal pain, complicating early diagnosis. Prompt recognition is essential, as delayed intervention may result in life-threatening complications including ischemia or rupture. A 44-year-old man with no significant medical history presented with postprandial right upper quadrant pain radiating to the back. Initial examination and laboratory tests, including ultrasound, were inconclusive. Given persistent clinical suspicion, computed tomography angiography revealed a long-segment hepatic artery dissection with near-complete luminal narrowing and intraluminal thrombus. Liver perfusion was preserved, with no biochemical or radiological signs of ischemia. After multidisciplinary consultation, conservative management with anticoagulation and serial Doppler ultrasonography was initiated. The patient remained clinically stable without complications. This case highlights the diagnostic challenges of hepatic artery dissection and underscores the importance of maintaining clinical suspicion in unexplained abdominal pain. In stable patients without organ ischemia, conservative treatment with close imaging follow-up can be a safe and effective management strategy. Due to its rarity, standardized treatment guidelines for hepatic artery dissection remain undefined.