Acute occlusion of the celiac axis and its branches with perforation of gastric fundus and splenic infarction, findings on spiral computed tomography: a case report

Kelekis, Nikolaos; Athanassiou, Evangelos; Loggitsi, Dimitra; Moisidou, R.; Tzovaras, George; Fezoulidis, Ioannis

doi:10.1186/1757-1626-3-82

Cited by 9 publications

(2 citation statements)

References 7 publications

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“…In our case, the anatomical variation of the common hepatic artery arising directly from the aorta and not branching from the celiac trunk saved the liver. Gastric ischemia is uncommon as the stomach has a rich blood supply from branches of the celiac trunk and the SMA collaterals [ 6 ]. Kelekis Nl et al reported a case of gastric fundus perforation in a patient with extensive thrombus in the celiac trunk and its branches with coexisting stenosis of the origin and proximal SMA that might have contributed to the development of irreversible gastric ischemia and necrosis [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Celiac Trunk Thrombosis a Rare Cause of Acute Abdomen. Case Presentation

Alharbi¹,

Benitez²,

Al-Harbi³

et al. 2022

Cureus

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Thrombosis of the celiac artery trunk is a rare cause of acute abdominal pain which is associated with high mortality and morbidity if not diagnosed and treated early. We present an unusual case of celiac trunk artery thrombosis associated with aortic thrombosis and partial splenic infarction in a 52-year-old female who presented with acute abdominal pain. Hematological investigations failed to predict any predisposing factors. This case demonstrates the importance of considering such clinical presentation in the differential diagnosis of acute abdomen

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Section: Discussionmentioning

confidence: 99%

Celiac Trunk Thrombosis a Rare Cause of Acute Abdomen. Case Presentation

Alharbi¹,

Benitez²,

Al-Harbi³

et al. 2022

Cureus

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“…(6) Hepatic ischaemia is also uncommon, as the liver has a dual blood supply from both the hepatic artery and the portal venous system.…”

Section: Discussionmentioning

confidence: 99%

Clinics in diagnostic imaging (176)

Appuhamy

Kwan

H’ng

et al. 2017

smedj

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A 52-year-old man presented to the emergency department with progressively worsening upper abdominal pain of one week's duration. He was a heavy smoker with a history of chronic heart disease and atrial fibrillation, but was not compliant with his warfarin therapy. An echocardiogram performed two months before had shown a thrombus in the left ventricular apex and left atrial appendage.The patient's vital signs included a heart rate of 122 beats per minute (irregularly irregular), blood pressure of 123/68 mmHg, respiratory rate of 20 breaths per minute and oxygen saturation of 99% on room air. He was afebrile, alert and showed no signs of distress. Pertinent physical findings included a soft abdomen with moderate tenderness elicited in the epigastrium and left hypochondrium. There was no rebound tenderness, guarding or abdominal distension. Bowel sounds were present. The remainder of the physical examination was non-contributory. Bedsidefocused ultrasonography showed no evidence of free fluid.Initial laboratory results showed a mildly raised white blood cell count of 10.4 × 10 9 /L and serum lactate level of 2.4 mmol/L (normal range 0.5-2.2 mmol/L). The patient's liver function test results were mostly within normal limits (alanine aminotransferase 12 U/L, aspartate aminotransferase 21 U/L, bilirubin 24 µmol/L, alkaline phosphatase 97 U/L), with the exception of mildly raised gamma-glutamyl transpeptidase (GGT) (61 U/L, normal range 7-50 U/L). His international normalised ratio was normal, measuring 1.2.Contrast-enhanced computed tomography (CT) of the abdomen was performed shortly after the patient was admitted. What do the CT images (Figs. 1-3

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