Gallstone associated celiac trunk thromboembolisms complicated with splenic infarction:A case report  

作　　者：Chia-Ying Wu Chang-Cheng Su Hsin-Hui Huang Yao-Tung Wang Chi-Chih Wang 

机构地区：[1]Department of Medicine,Taipei Veterans General Hospital,Taipei 112,Taiwan [2]Division of Gastroenterology and Hepatology,Department of Internal Medicine,Chung Shan Medical University Hospital,Taichung 402,Taiwan [3]School of Medicine,Chung Shan Medical University,Taichung 402,Taiwan [4]Department of Medical Imaging and Radiological Sciences,Chung Shan Medical University,Taichung 402,Taiwan [5]Division of Pulmonary Medicine,Chung Shan Medical University Hospital,Taichung 402,Taiwan

出　　处：《World Journal of Clinical Cases》2022年第25期8968-8973,共6页世界临床病例杂志

摘　　要：BACKGROUND Gallstone disease(GD)can have prolonged,subacute inflammatory period before biliary events.The intricate relationship between GD and inflammatory processes can possible lead to prothrombotic tendency that can result in confusing clinical course before diagnosis.CASE SUMMARY A 51-year-old man,presented with a 1-year history of self-relief occasional postprandial upper abdominal pain,had sudden onset severe left upper quadrant pain and visited our emergency room.Contrast enhanced computed tomography(CECT)showed filling defect in celiac trunk,common hepatic,part of splenic arteries and wedge-shaped hypo-enhancing region of spleen,consistent with splenic infarction secondary to splenic arterial occlusion.No convincing predisposing factors were found during first hospitalization.Abdominal pain mildly subsided after low molecular weight heparin and bridge to oral anticoagulant use.However,in the following six months,the patient was admitted twice due to acute cholangitis and finally cholecystitis.Second CECT revealed biliary impacted stone was adjacent to poor dissoluble thrombus.The abdominal pain did not achieve a clinical full remission until endoscopic retrograde cholangiopancreato-graphy stone removal and series laparoscopic cholecystectomy was performed.CONCLUSION This is the first case to present serious thrombotic complication due to inflammation status in chronic GD.It could be a rare,confusing and difficult recognizing cause of a celiac trunk thromboembolic event.

关 键 词：GALLSTONES CHOLELITHIASIS Splenic infarction CHOLECYSTECTOMY Thromboembolisms Case report 

分 类 号：R575.62[医药卫生—消化系统] R551.1[医药卫生—内科学]