# Taking the Road Less Travelled: A Case Report of Distal Splenic Artery Embolisation via the Pancreaticoduodenal Arcade in Splenic Trauma With Celiac Artery Stenosis

## TL;DR

A rare case of splenic trauma with celiac artery stenosis was treated using embolization through a collateral pathway.

## Contribution

The paper presents a novel embolization approach via the pancreaticoduodenal arcade in a patient with celiac artery stenosis.

## Key findings

- A 19-year-old female with AAST grade IV splenic injury and CAS was successfully treated with distal splenic artery embolization.
- The embolization was performed through the pancreaticoduodenal arcade, a collateral pathway due to celiac artery stenosis.

## Abstract

Celiac axis stenosis (CAS) is one of the most prevalent splanchnic arterial pathologies. It seldom results in clinically severe ischemic bowel disease because of the rich collateral circulation from the superior mesenteric artery. Knowledge about the collaterals in celiac artery stenosis guides various interventional procedures. Here, we describe a case of a 19-year-old female with American Association for the Surgery of Trauma (AAST) grade IV splenic injury found to have CAS. Distal splenic artery embolisation was performed via the collateral pathway through the pancreaticoduodenal arcade.