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Updated: May 15, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Celiac artery thrombosis and superior mesenteric artery stenoses with essential thrombocythemia: a case report
Hasan Attila Keskin1, Fahri Yetisir, Huseyin Bayram
1Department of Cardiovascular Surgery, Etlik Education and Research Hospital, 06020 Ankara, Turkey.
Insights
Celiac artery thrombosis, a rare cause of abdominal pain, can be fatal if treatment is delayed. This case highlights successful surgical management in a patient with essential thrombocythemia, a blood disorder.
Area of Science:
- Vascular Surgery
- Hematology
- Gastroenterology
Background:
- Celiac artery thrombosis is a rare condition causing acute abdominal pain with high mortality if diagnosis and treatment are delayed.
- It is often linked to cardiovascular events, with atherosclerosis being the most common cause.
- Essential thrombocythemia is a myeloproliferative disorder associated with thrombotic or hemorrhagic episodes.
Purpose of the Study:
- To report the first known case of celiac artery thrombosis and superior mesenteric artery stenoses in a patient with essential thrombocythemia.
- To discuss the diagnostic and management challenges of this rare presentation.
- To emphasize the importance of considering underlying hematological disorders in arterial thrombosis.
Main Methods:
- A case report detailing the clinical presentation, diagnostic workup, and treatment of a patient with essential thrombocythemia presenting with celiac and superior mesenteric artery stenoses.
- Review of relevant literature on celiac artery thrombosis and essential thrombocythemia.
Main Results:
- The patient presented with symptoms suggestive of celiac artery thrombosis and was diagnosed with concurrent superior mesenteric artery stenoses.
- The patient had a confirmed diagnosis of essential thrombocythemia.
- Successful surgical management was performed, reestablishing mesenteric blood flow and preventing end-organ ischemia.
Conclusions:
- Essential thrombocythemia can be an underlying cause of splanchnic artery thrombosis, including celiac artery thrombosis and superior mesenteric artery stenoses.
- Early diagnosis and prompt surgical intervention are crucial for favorable outcomes in patients with splanchnic artery thrombosis.
- This case underscores the importance of a multidisciplinary approach in managing complex vascular and hematological conditions.
Abstract:
Thrombosis of the celiac artery trunk is a rare cause of acute abdominal pain. Thrombosis of the celiac artery carries a high mortality and morbidity when the diagnoses and treatment are delayed. It is frequently associated with other cardiovascular events. The most common etiology is atherosclerosis. 20-30% of cases may have symptoms of chronic mesenteric ischemia. Main goal of the treatment is to reestablish the diminished or stopped mesenteric blood flow and to avoid end-organ ischemia. Essential thrombocythemia is a chronic myeloproliferative disorder characterized by marked increase in thrombocyte number and clinical presentation may be with thrombotic episodes, hemorrhage, or both. To our knowledge this is the first report of celiac artery thrombosis and superior mesenteric artery stenoses in a patient with essential thrombocythemia. The patient was managed successfully with surgical treatment.
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