Abstract
Thrombosis of the celiac artery trunk is a rare cause of acute abdominal pain. Thrombosis of the celiac artery carries a high mortality and morbidity when the diagnoses and treatment are delayed. It is frequently associated with other cardiovascular events. The most common etiology is atherosclerosis. 20–30% of cases may have symptoms of chronic mesenteric ischemia. Main goal of the treatment is to reestablish the diminished or stopped mesenteric blood flow and to avoid end-organ ischemia. Essential thrombocythemia is a chronic myeloproliferative disorder characterized by marked increase in thrombocyte number and clinical presentation may be with thrombotic episodes, hemorrhage, or both. To our knowledge this is the first report of celiac artery thrombosis and superior mesenteric artery stenoses in a patient with essential thrombocythemia. The patient was managed successfully with surgical treatment.
Highlights
Thrombosis of the celiac artery trunk is a rare cause of acute abdominal pain
Conditions that increase the tendency towards thrombosis like atherosclerosis, collagen tissue disorders, coagulation abnormalities, and malignancies can be noted among the leading causes of celiac artery thrombosis
In this report we presented a case who had Essential thrombocythemia (ET) with superior mesenteric artery (SMA) stenoses associated with celiac artery thrombosis
Summary
Thrombosis of the celiac artery trunk is a rare cause of acute abdominal pain. Conditions that increase the tendency towards thrombosis like atherosclerosis, collagen tissue disorders, coagulation abnormalities, and malignancies can be noted among the leading causes of celiac artery thrombosis. The purpose of treatment is to reestablish blood flow in the mesenteric vessels and to prevent end-organ ischemic damage and infarct. There is substantial development in diagnoses and treatment of celiac artery thrombosis, hospital mortality is still rated at 59–93%. Successful treatment depends on early diagnoses and effective intervention either surgically or endovascularly to reestablish blood flow and surgical resection of necrotic parts and good intensive care unit management [1]. Essential thrombocythemia (ET) is a myeloproliferative disorder characterized by significant increase in thrombocyte number. It can present as either hemorrhage or thrombotic episodes or both of them [2]. In this report we presented a case who had ET with superior mesenteric artery (SMA) stenoses associated with celiac artery thrombosis
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