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Updated: May 27, 2026
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Synchronous celiac axis and superior mesenteric artery embolism
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.
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.
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