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
نویسندگان
چکیده
We present the contrast-enhanced spiral CT findings in a case of acute celiac artery occlusion with gastric perforation and total splenic infarction. Spiral CT depicted thrombus in the celiac axis and its branches, stenosis of the superior mesenteric artery, splenic infarction and lack of enhancement of the gastric wall with a large necrotic gap. Spiral CT enabled prompt diagnosis and therapy in this rare condition in a patient with suspicion of acute mesenteric ischemia.
منابع مشابه
Splenic Infarction in a Case of Acute Promyelocytic Anemia
Splenic infarction occurs due to occlusion of splenic vessels that leads to splenic tissue ischemia and necrosis. There are several reports regarding splenic infarction in patients with acute myelogenous leukemia (AML). Herein, we report a case of acute promyelocytic anemia (AML-M3) who presented with abdominal pain and splenic infarction.
متن کاملMajor complication after Histoacryl injection for endoscopic treatment of bleeding peptic ulcer.
A 49-year-old man in hemorrhagic shock because of melena and hematemesis was referred from another hospital. On admission he was still normotensive (red cell count 2.08×106/μL, hemoglobin 61g/L). He had no prior known medical condition and did not take anymedication regularly. Emergency endoscopy revealed a large amount of fresh coagulated blood and bleeding from the arterial vessels in the sto...
متن کاملSurgical and Endoscopic Treatment of a Double Phytobezoar Causing Ileus and Jaundice: A Case Report
Bezoars are rare conditions of mechanical intestinal occlusion. Among the various types of bezoars, phytobezoars and trichobezoars are the most common types. Symptoms are usually indistinguishable from other more common entities; therefore, it may be difficult to reach a correct diagnosis. Computed tomography (CT) scan is the preferred diagnostic method. Treatment may include surgery, lavage wi...
متن کاملGastric arterial bleeding secondary to chronic occlusion of the splenic artery (with video).
Cyrany J, Kopáčová M, Rejchrt S, Krajina A, Bureš J. Gastric arterial bleeding secondary to chronic occlusion of the splenic artery. Folia Gastroenterol Hepatol 2004; 2 (2): 92 98. Abstract. The authors present exceptional case of life threatening bleeding from fundic arterial collaterals in the patient with atherosclerotic chronic occlusion of the splenic artery. Haemostasis was achieved by en...
متن کاملTrichobezoar Causing Gastric Perforation: A Case Report
Trichobezoars are impactions of swallowed hairs in the stomach and occasionally in the intestine. They occur in emotionally disturbed, depressed, or mentally retarded patients who have trichotillomania and trichophagia. Trichobezoars are usually diagnosed on CT scan or upper GI endoscopy. They can give rise to complications like gastroduodenal ulceration, haemorrhage, perforation, peritonitis, ...
متن کامل