Isolated Celiac Trunk Dissection as a Cause of Abdominal Pain

Isolated celiac trunk dissection is a rare condition involving dissection of this artery without aortic or other visceral artery involvement. We present an atypical case of a 46-year-old male smoker, hemodynamically stable upon admission, who experienced severe left hypochondrium pain. Imaging studies revealed narrowed flow in the celiac trunk and multiple splenic infarctions. After diagnosing isolated celiac trunk dissection, conservative management was successfully implemented. Surgical interventions are reserved for patients with hemodynamic instability, extensive ischemic involvement, or failure of conservative management.