Possible cause underlying gastric necrosis and perforation: Celiac artery thrombosis

Authors

  • Ahmet Peker Tepecik Education and Research Hospital, Internal Medicine Clinic
  • Hakan Yarkıcı Tepecik Education and Research Hospital, Internal Medicine Clinic
  • Elif Ertürk epecik Education and Research Hospital, Internal Medicine Clinic
  • Harun Akar Tepecik Education and Research Hospital, Internal Medicine Clinic

Keywords:

Gastric necrosis, Celiac artery, thrombosis

Abstract

In this article, we are sharing a case of a 76-year-old woman with known hypertension, atrial fibrillation,diabetes mellitus, coronary artery disease, who is presenting with stomach necrosis and perforation possibly due to celiac artery thrombosis after newly developed abdominal pain and bloody vomiting. In our case, emergency surgery was planned and the patient refused the operation and was lost at 48 hours of clinical follow-up. We aimed to discuss the etiology of celiac artery thrombosis, briefly. We believe that necrosis and perforation of the stomach due to celiac artery thrombosis deserves to be shared because it is a rare and difficult case to manage.

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References

Trellopoulos G, Pikilidou M, Tsiga E. Celiac artery embolism due to thrombophilia: A case Report. Int J Angıol 2009; 18(2):96-98.

Schoots IG, Koffeman GI, Legemate DA, Levi M, van Gulik TM. Systematic review of survival after acute mesenteric ischaemia according to disease aetiology. British Journal of Surgery 2004; 91(1):17–27.

Salinas J, Georgiev T, Gonza´ lez-Sa´nchez JA, Lo´ pez-Ruiz E, Rodrı´guezMontes JA. Gastric necrosis: a late complication of nissen fundoplication. World J Gastrointest Surg 2014;6(9):183–86.

Komaç A, Yıldırım M, Günay S, Kaypak MA, Yıldız C, Akar H. Successful management of idiopathic gastric necrosis in a geriatric patient. Europ Geriat Med. 2016;7: 360-63.

Kanetaka K, Azuma T, Ito S, Yamaguchi S, Matsuo S, Kanematsu T. Gastric necrosis after an infarction of the spleen: report of a case. Surg Today 2003; 33: 867–69.

Turan MS, Canbay E, Karadayı K, Yıldız E. Gastric necrosis and perforation caused by acute gastric dilatation: report of a case. Surg Today 2003; 33: 302– 4.

Bortul M, Scaramucci M, Tonello C, Spivach A, Liguori G. Gastric wall necrosis from organo-axial volvulus as a late complication of laparoscopic gastric banding. Obes Surg 2004; 14: 285-87.

Saravana K, Zainal AA, Lee SK. Coeliac artery thrombosis: An uncommon cause of an acute abdomen. Med J Malaysia 2011; 66(3): 69-74.

Heys SD, Brittenden J, Crofts TJ. Acute mesenteric ischemia:the continuing difficulty in early diagnosis. Postgrad Med J 1993; 69: 48-51.

Mc Kinsey JF, Gewertz BL. Acute mesenteric ischemia. Surg Clin North Am 1997; 77: 307-9.

Keskin HA, Yetişir F, Bayram H, Bayraktaroğlu MS, Şimşek E, Kılıç M, et al. Celiac artery thrombosis and superior mesenteric artery stenoses with essential thrombocythemia case reports. Medicine 2012; 3-5.

Serck LC, Cogbill TH. Aortic, celiac axis and superior mesenteric artery thrombosis associated with sigmoid colon adenocarcinoma and hypercoagulable state.Vasc Endovasculer Surgical 2009; 43: 284-5.

Kanth R, Chamany T, Ramesh MA. Case of celiac artery and inferior mesenteric artery thrombosis in a patient with protein C & S deficiency. SEAJCRR 2006; (4): 2319-24.

Kumaran C,Chung AF, Ooi LP, Chow PH, Wong WK. Coeliac artery thrombosis in acute pancreatitis causing total gastric necrosis. ANZ J Surgical 2006; 76: 273-4.

Arul GS, Dolan G, Rance CH, Singh SJ, Sommers J. Coeliac axis thrombosis associated with the combined oral contraceptive pill: a rare cause of an acute abdomen. Pediatr Surg Int. 1998; 13: 285–7.

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Published

2017-12-28

Issue

Section

Case Report

How to Cite

1.
Peker A, Yarkıcı H, Ertürk E, Akar H. Possible cause underlying gastric necrosis and perforation: Celiac artery thrombosis. J Surg Med [Internet]. 2017 Dec. 28 [cited 2024 Mar. 29];1(3):62-4. Available from: https://jsurgmed.com/article/view/347952