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.

Case Reports in Medicine
|January 11, 2013
PubMed

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.

Related Concept Videos

Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
Blood Supply to the Digestive System01:16

Blood Supply to the Digestive System

Splanchnic circulation refers to the network of blood vessels that supply and drain blood from the abdominal organs involved in digestion, including the stomach, liver, pancreas, intestines, and spleen. This circulation delivers essential nutrients and oxygen while removing waste products from these organs.
Blood Supply to the Digestive System: The splanchnic circulation involves three main arteries: the celiac artery (also known as the celiac trunk) and the superior and inferior mesenteric...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
Portal Hypertension01:22

Portal Hypertension

Portal hypertension is an increase in blood pressure within the portal venous system. Normally, this pressure is less than 5 mmHg. It is considered clinically significant when it rises above 10 mmHg. At this threshold, complications from altered blood flow and venous congestion emerge.EtiologyPortal hypertension arises from conditions that impede blood flow through the liver. The most common cause is cirrhosis, in which chronic liver injury leads to fibrotic scarring. This fibrosis narrows or...