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Clinics in diagnostic imaging (176). Acute embolic occlusion of the coeliac artery

Chinthaka Appuhamy1, Justin Kwan1, Martin Weng Chin H'ng1

  • 1Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore.

Singapore Medical Journal
|April 22, 2017
PubMed

Insights

A rare case of coeliac artery embolism causing splenic infarction was successfully treated with catheter-directed thrombolysis. This minimally invasive approach offers a feasible and effective option for acute thromboembolic occlusion.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiology

Background:

  • A 52-year-old male with chronic heart disease and atrial fibrillation presented with abdominal pain.
  • Patient had a history of non-compliance with warfarin therapy.

Observation:

  • Computed tomography mesenteric angiography revealed complete embolic occlusion of the coeliac artery.
  • Associated findings included segmental splenic infarction and left ventricular thrombus.

Findings:

  • Catheter-directed thrombolysis was performed to treat the coeliac artery embolism.
  • Successful treatment was confirmed by a 12-hour follow-up angiogram, showing complete embolus dissolution.
  • The patient's symptoms resolved, and he was discharged on anticoagulation therapy.

Implications:

  • Isolated acute embolic occlusion of the coeliac axis is a rare but serious condition.
  • Catheter-directed thrombolysis is a viable and effective treatment modality for this condition.
  • Early diagnosis and intervention are crucial for favorable patient outcomes.

Keywords:
atrial fibrillationcatheter-directed thrombolysiscoeliac artery occlusionembolus

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