Thrombosis of celiacomesenteric trunk:Report of a case  

作　　者：Federico Lovisetto Gianbattista Finocchiaro De Lorenzi Piera Stancampiano Carmen Corradini Fabio De Cesare Orazio Geraci Mario Manzi Francesco Arceci 

机构地区：[1]Division of General and Vascular Surgery,San Biagio Hospital,28845 Domodossola,Italy [2]Division of General and Vascular Surgery,Castelli Hospital,28921 Verbania,Italy

出　　处：《World Journal of Gastroenterology》2012年第29期3917-3920,共4页世界胃肠病学杂志（英文版）

摘　　要：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.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.

关 键 词：Celiacomesenteric trunk Celiac trunk Thrombosis Anomalies Gastrointestinal vascularisation 

分 类 号：R543[医药卫生—心血管疾病]