# Isolated Celiac Artery Dissection Detected by Non-contrast CT

## TL;DR

A rare case of isolated celiac artery dissection was detected using non-contrast CT, showing its potential for early diagnosis.

## Contribution

Demonstrates non-contrast CT can detect ICAD, offering early clues before confirmatory contrast-enhanced CT.

## Key findings

- Non-contrast CT showed celiac artery dilation and perivascular fat stranding, suggesting ICAD.
- Contrast-enhanced CT confirmed the diagnosis, validating non-contrast findings.
- Conservative management was effective, highlighting the importance of early detection.

## Abstract

Isolated celiac artery dissection (ICAD) is a rare condition commonly detected using contrast-enhanced CT (CE-CT). We report the case of a middle-aged Asian man with a history of hypertension, ureterolithiasis, and tobacco use who presented with persistent abdominal pain. Non-contrast CT (Canon Medical Systems Corporation, Japan) revealed celiac artery dilation and perivascular fat stranding, raising the suspicion of ICAD, which was subsequently confirmed by CE-CT. Conservative management was successful. This case highlights the potential value of non-contrast CT findings as early indicators of ICAD, emphasizing the need for clinical vigilance and timely CE-CT in high-risk patients.