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Celiac artery trunk thrombosis presenting as acute liver failure
Mohsen Ali-Akbarian1, Mahdi Kahrom, Hadi Kahrom
1Department of General Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Summary
Acute mesenteric ischemia is a serious vascular emergency. This case highlights unusual celiac artery thrombosis causing widespread organ damage and acute liver failure.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Hepatology
Background:
- Acute mesenteric ischemia (AMI) is a critical vascular emergency.
- Prompt diagnosis and intervention are vital to restore blood flow and prevent intestinal necrosis.
- Typically, AMI involves the superior and inferior mesenteric arteries.
Observation:
- A 57-year-old male presented with symptoms of acute mesenteric ischemia.
- Imaging revealed thrombosis of the celiac artery trunk.
Findings:
- The celiac artery thrombosis led to infarction of the gastro-duodenal and hepato-splenic regions.
- The patient developed acute liver failure secondary to the ischemic event.
Implications:
- This case underscores the importance of considering celiac artery thrombosis in AMI.
- Unusual vascular occlusions can lead to severe, multi-organ complications.
- Early recognition of atypical mesenteric ischemia presentations is crucial for patient survival.
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