[Celiac artery thrombosis and splenic infarction in a patient with protein s deficiency].
Protein S deficiency is a rare blood disorder associated with an increased risk of thrombosis. Only a few cases of arterial thrombosis of digestive tract have been noted. We report a case of celiac arterial thrombosis and splenic infarction in 46-year-old male with protein S deficiency. Abdominal computed tomography and angiography revealed thrombotic obstruction of the proximal celiac and common hepatic artery with splenic infarction. His total and free antigen of protein S were normal, however, the activity of protein S was low. Percutaneous transluminal angioplasty was performed to revascularise celiac and common hepatic artery.
Kim
Chan Woong
CW
Departments of Emergency Medicine, Chungang University College of Medicine, Seoul, Korea.
Kim
Jeong Wook
JW
D002445:Celiac Artery / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D018455:Protein S Deficiency / Q000150:complications* / Q000235:genetics; D013159:Splenic Infarction / Q000000981:diagnostic imaging* / Q000209:etiology; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology; D036542:Tomography, Spiral Computed