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Celiac artery embolism: case report

S J Fratesi, G G Barber

    Canadian Journal of Surgery. Journal Canadien De Chirurgie
    |September 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    This case study highlights acute gastrointestinal ischemia caused by celiac artery embolism in a young patient. Nonoperative management with heparin proved effective, suggesting celiac artery occlusion may be underdiagnosed.

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    Area of Science:

    • Vascular Surgery
    • Gastroenterology
    • Interventional Radiology

    Background:

    • Acute gastrointestinal ischemia presents diagnostic challenges, often with symptoms disproportionate to physical findings.
    • Celiac artery embolism is a rare but serious cause of acute intestinal ischemia.
    • Patient management requires careful consideration of cardiac status and potential complications.

    Observation:

    • A 23-year-old male with a recent myocardial infarction presented with symptoms suggestive of acute gastrointestinal ischemia.
    • Selective angiography revealed celiac artery embolism with good collateral filling.
    • Due to poor cardiac status, the patient was treated nonoperatively with intravenous heparin.

    Findings:

    • Nonoperative management with intravenous heparin was successful in treating the acute gastrointestinal ischemia.

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  • Selective angiography under local anesthesia with intravenous sedation is a safe and effective diagnostic tool.
  • Celiac artery occlusion may occur more frequently than previously recognized.
  • Implications:

    • This case underscores the importance of considering celiac artery embolism in the differential diagnosis of acute gastrointestinal ischemia, particularly in patients with cardiovascular risk factors.
    • Nonoperative management may be a viable option for select patients with acute mesenteric ischemia.
    • Further research is warranted to elucidate the incidence and optimal management strategies for celiac artery embolism.