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Updated: Sep 23, 2026

Rodent Model of Intestinal Ischemia-Reperfusion Injury via Occlusion of the Superior Mesenteric Artery
Published on: October 20, 2023
[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.
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.
Abstract:
The Authors report a case of coeliac axis atheromatous obstruction, with superior mesenteric artery steal. The coeliac axis, stopped up the origin was indirectly revascularized by hepatic artery. The early diagnosis of chronic intestinal ischaemia should avoid the intestinal infarction. The development of intravenous digital angiography will certainly help an early diagnosis.

