Lovisetto F, Finocchiaro De Lorenzi G, Stancampiano P, Corradini C, De Cesare F, Geraci O, Manzi M, Arceci F. Thrombosis of celiacomesenteric trunk: Report of a case. World J Gastroenterol 2012; 18(29): 3917-3920 [PMID: 22876046 DOI: 10.3748/wjg.v18.i29.3917]
Corresponding Author of This Article
Federico Lovisetto, MD, Division of General and Vascular Surgery, San Biagio Hospital, Piazza Vittime dei Lager Nazifascicti 1, 28845 Domodossola, Italy. fedelovi@yahoo.com
Article-Type of This Article
Case Report
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World J Gastroenterol. Aug 7, 2012; 18(29): 3917-3920 Published online Aug 7, 2012. doi: 10.3748/wjg.v18.i29.3917
Thrombosis of celiacomesenteric trunk: Report of a case
Federico Lovisetto, Gianbattista Finocchiaro De Lorenzi, Piera Stancampiano, Carmen Corradini, Fabio De Cesare, Orazio Geraci, Mario Manzi, Francesco Arceci
Federico Lovisetto, Carmen Corradini, Fabio De Cesare, Orazio Geraci, Mario Manzi, Francesco Arceci, Division of General and Vascular Surgery, San Biagio Hospital, 28845 Domodossola, Italy
Gianbattista Finocchiaro De Lorenzi, Piera Stancampiano, Division of General and Vascular Surgery, Castelli Hospital, 28921 Verbania, Italy
Author contributions: Lovisetto F designed and performed the research; Finocchiaro De Lorenzi G, Stancampiano P, Corradini C, De Cesare F, Geraci O and Manzi M contributed to acquisition of data; Arceci F critically revised the research; Lovisetto F wrote the paper.
Correspondence to: Federico Lovisetto, MD, Division of General and Vascular Surgery, San Biagio Hospital, Piazza Vittime dei Lager Nazifascicti 1, 28845 Domodossola, Italy. fedelovi@yahoo.com
Telephone: +39-324-491356 Fax: +39-324-491367
Received: December 23, 2011 Revised: February 28, 2012 Accepted: March 20, 2012 Published online: August 7, 2012
Abstract
Here we present the case of a 79-year-old woman who complained of acute abdominal pain, vomiting and diarrhoea. Laboratory exams demonstrated a severe metabolic imbalance. Abdominal X-rays showed bowel overdistension and pneumatosis of the stomach wall. Abdominal tomography revealed infarction of the stomach, duodenum and small bowel due to thrombosis of the celiacomesenteric trunk. Exploratory laparotomy revealed ischemia of the liver, spleen infarction and necrosis of the gastro-intestinal tube (from the stomach up to the first third of the transverse colon). No further surgical procedures were performed. The patient died the following day. To our knowledge, this is the first reported case about severe gastro-intestinal ischemia due to thrombosis of the celiacomesenteric trunk, a rare anatomic variation of the gastrointestinal vascularisation.
