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Related Experiment Video

Updated: May 27, 2026

Multimodality Diagnosis of Mesenteric Ischemia

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Synchronous celiac axis and superior mesenteric artery embolism.

Z Rajkovic¹, Z Zelic, D Papes

¹Zabok General Hospital, Zabok, Croatia. zrajkovi@gmail.com

VASA. Zeitschrift Fur Gefasskrankheiten

|November 18, 2011

Summary

A rare case of combined celiac axis and superior mesenteric artery embolism caused multi-organ failure. Early diagnosis of visceral thromboembolism is critical for patients with atrial fibrillation and abdominal pain.

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Robot Assisted Distal Pancreatectomy with Celiac Axis Resection (DP-CAR) for Pancreatic Cancer: Surgical Planning and Technique

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Area of Science:

Vascular Surgery
Gastroenterology
Emergency Medicine

Background:

Atrial fibrillation is a common condition that can lead to embolic events.
Abdominal pain is a frequent symptom with a broad differential diagnosis.
Visceral artery embolism is a rare but life-threatening condition.

Observation:

A 70-year-old patient presented with atrial fibrillation and diffuse abdominal pain.
Imaging revealed portal vein air, bowel distension, and massive embolism of the celiac axis and superior mesenteric artery.
Laparotomy confirmed extensive organ necrosis, including the liver, spleen, stomach, and small intestine.

Findings:

Complete necrosis of multiple abdominal organs due to massive visceral artery embolism.
Gangrenous gallbladder with perforation and free gallstone.
Presence of free air in the gastric veins.

Implications:

Acute visceral thromboembolism must be considered in patients with atrial fibrillation and abdominal pain.
Prompt diagnosis using D-dimers, lactate levels, and CT angiography is crucial.
Early surgical intervention based on clinical suspicion can improve outcomes.