Spontaneous dissection of celiac trunk is quiet an uncommon medical condition, with less than forty case reports in the medical literature. Due to rarity of this disease in clinical practice and non-specific nature of symptoms, a high degree of clinical suspicion is needed. Epigastric pain is most common presenting symptom. Symptomatic spontaneous celiac artery dissection is a rare condition that is being detected more often with the use of advanced imaging techniques. The ideal treatment has not yet been established but the available strategies are conservative medical management, endovascular intervention or surgical revascularization. We describe the case of 55 year old man who presented with severe upper abdominal pain , dynamic small bowel obstruction and diagnosed as spontaneous celiac artery dissection on imaging , confirmed on angiography. We provide a review of the current literature about imaging finding and management of this
rare entity.

Keywords: Celiac Artery; Bowel Obstruction; Angiography.