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Updated: Apr 11, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Acute celiac trunk thrombosis revealed by biliary peritonitis
H Jerraya1, A Sbaï1, M Khalfallah1
1Medical School of Tunis, Department "B" of General Surgery, Charles Nicolle Hospital, boulevard du 9 Avril, 1006 Tunis, Tunisia.
Acute thrombosis of the celiac trunk, a rare emergency, can cause varied symptoms. This case shows its link to biliary peritonitis and the diagnostic value of abdominal computed tomography for upper abdominal pain.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Emergency Medicine
Background:
- Acute thrombosis of the celiac trunk is a rare but life-threatening vascular emergency.
- Clinical presentation varies significantly based on the affected ischemic area.
Observation:
- A case of biliary peritonitis was observed.
- This complication was directly linked to acute thrombosis of the celiac trunk.
Findings:
- Abdominal computed tomography (CT) is crucial for diagnosing acute upper abdominal pain.
- CT imaging identified the celiac trunk thrombosis leading to biliary peritonitis.
Implications:
- Highlights the importance of considering celiac trunk thrombosis in acute abdominal emergencies.
- Emphasizes the diagnostic utility of CT scans in complex upper abdominal pathologies.
- Underscores the need for prompt diagnosis and management of celiac trunk thrombosis to prevent severe complications like biliary peritonitis.
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