Rajesh Kumar*
Department of General Medicine, AIIMS, New Delhi, India
Received: 01 September, 2025, Manuscript No jcmcs-26-186975; Editor Assigned: 03 September, 2025, Pre QC No. 186975; Reviewed: 16 September, 2025, QC No. Q186975; Revised: 22 September, 2025, Manuscript No. R-186975 Published: 29 September, 2025, DOI: 10.4172/JCMCS.10.3.001
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Acute abdominal pain is a common yet diagnostically challenging clinical presentation in emergency medicine. This case report describes a rare presentation of celiac artery aneurysm (CAA) in a middle-aged male patient[1]. The patient presented with recurrent abdominal pain that was initially misdiagnosed, highlighting the importance of thorough clinical evaluation and imaging.This report emphasizes the significance of early detection and management of vascular causes of abdominal pain to prevent life-threatening complications.
A clinical case report provides a detailed account of an individual patient’s symptoms, diagnosis, treatment, and follow-up, often highlighting rare or unusual conditions. Acute abdominal pain is one of the most frequent reasons for emergency department visits, yet it encompasses a wide differential diagnosis ranging from benign to life-threatening conditions[2,3].
Celiac artery aneurysm (CAA) is a rare vascular condition accounting for less than 4% of all visceral artery aneurysms. Due to its rarity and nonspecific symptoms, it is often overlooked during initial evaluation.
Case Presentation
Patient Information
A 52-year-old male presented to the emergency department with complaints of severe, intermittent upper abdominal pain for 24 hours. The pain was described as sharp, radiating to the back, and associated with nausea.
Medical History
Hypertension (10 years)
Smoking history (20 pack-years)
No prior abdominal surgeries
Clinical Findings
On examination:
Blood pressure: 150/90 mmHg
Pulse: 98 bpm
Abdomen: Tenderness in epigastric region
No guarding or rigidity
Initial laboratory tests were within normal limits except for mild leukocytosis.
Diagnostic Assessment
The initial diagnosis considered gastritis and pancreatitis. However, serum amylase and lipase levels were normal. Due to persistent pain, a contrast-enhanced CT scan was performed, revealing a 2.5 cm celiac artery aneurysm[4].
This finding aligned with reports where patients presented with abdominal pain due to vascular anomalies .
Therapeutic Intervention
The patient underwent endovascular repair using coil embolization. The procedure was successful without complications.
Follow-Up and Outcomes
At 3-month follow-up:
No recurrence of symptoms
Imaging confirmed stable repair
Blood pressure well controlled
DISCUSSION
CAA is a rare but potentially fatal condition if rupture occurs. The patient’s presentation mimicked common gastrointestinal disorders, leading to initial misdiagnosis. This reflects the diagnostic complexity often associated with abdominal pain cases[5].
Case reports play a critical role in identifying rare clinical presentations and improving diagnostic accuracy . Early imaging is crucial when symptoms persist despite normal laboratory findings.
CONCLUSION
This case highlights the importance of considering vascular causes in unexplained abdominal pain. Early diagnosis and timely intervention can significantly reduce morbidity and mortality.
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