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A 57-year-old male presented to the ED complaining of severe abdominal pain. Further investigations ruled out gastritis and gastroparesis. Computed tomography (CT) angiography of the abdomen revealed a dissecting aneurysm with a maximum diameter of 1.5 cm at the celiac trunk extending into proximal splenic artery with mural thrombosis. Due to the patient’s medical history, surgical or endovascular repair of the aneurysm carried too much risk. The patient was discharged to home, and symptoms were managed with pain management and celiac plexus ablation as an adjunct to pain medications.
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