[Celiac-mesenteric insufficiency. Apropos of a case of aorto-hepatic bypass]

G Viglione1, F Lavagna, R Rivetti

  • 12 Divisione Chirurgica, Ospedale Civile S. Croce, Cuneo.

Minerva Chirurgica
|January 1, 1990
PubMed

Insights

Atheromatous obstruction of the coeliac axis, a rare condition, can lead to chronic intestinal ischemia. Early diagnosis using advanced imaging is crucial to prevent intestinal infarction.

Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Atherosclerosis can affect splanchnic arteries, leading to potentially severe ischemic complications.
  • Coeliac axis obstruction is an uncommon cause of abdominal pain and gastrointestinal symptoms.

Observation:

  • A case of coeliac axis atheromatous obstruction with associated superior mesenteric artery steal is presented.
  • The coeliac axis obstruction at its origin was indirectly revascularized via the hepatic artery.

Findings:

  • The patient presented with symptoms suggestive of chronic intestinal ischemia.
  • Successful indirect revascularization of the coeliac axis was achieved.

Implications:

  • Early diagnosis of chronic intestinal ischemia is vital to prevent irreversible intestinal infarction.
  • Intravenous digital angiography is a valuable tool for the timely diagnosis of splanchnic artery disease.

Related Concept Videos