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Updated: Jan 9, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Severe Proximal Celiac Trunk Stenosis Without Significant Aortic Atherosclerosis: A Case Report
Mahfuza A Khan1, Mohammed S Alam2, Roxana Lazarescu3
1Internal Medicine, Sylhet MAG Osmani Medical College, Sylhet, BGD.
Insights
Elderly patients with comorbidities can present complex pain symptoms. This case highlights severe celiac trunk stenosis and other vascular findings, requiring a multidisciplinary approach for accurate diagnosis and care.
Area of Science:
- Vascular Medicine
- Geriatric Medicine
- Diagnostic Imaging
Background:
- Elderly patients often present with multifactorial symptoms.
- Comorbidities like hypertension and smoking complicate diagnosis.
- Distinguishing incidental findings from critical pathology is challenging.
Abstract:
A 76-year-old male with a history of gastritis, gastric ulcer perforation, hypertension, and active smoking presented with recurrent chest pain, abdominal pain, and back pain. Workup excluded acute coronary syndrome, pulmonary embolism, aortic dissection, and mesenteric ischemia. CT angiography revealed severe proximal celiac trunk stenosis, an ectatic descending thoracic aorta, bilateral renal cysts, emphysema, and a hepatic hypodensity. Further evaluation demonstrated non-obstructive coronary disease, possibly related to endothelial dysfunction. This case highlights the diagnostic complexity of back pain and chest pain in elderly patients with other comorbidities, emphasizing the importance of distinguishing incidental vascular findings from clinically significant pathology. A multidisciplinary approach involving cardiology, vascular surgery, gastroenterology, pulmonology, and nutrition services was required to optimize care.
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