Aortic, celiac axis, and superior mesenteric artery thrombosis associated with sigmoid colon adenocarcinoma and hypercoagulable state.
A patient with sigmoid colon adenocarcinoma and hypercoagulable state developed acute visceral ischemia secondary to thrombus involving the suprarenal aorta, celiac axis and superior mesenteric artery. A large, laminated fibrin thrombus was removed via supraceliac aortotomy. Attempts to clear thrombus from branches of the celiac axis and superior mesenteric artery by open and catheter-based techniques were of limited success. Extensive visceral infarction ensued and the patient died.
Serck
Luke C
LC
Department of Medical Education, Gundersen Lutheran Medical Foundation.
Cogbill
Thomas H
TH
D000230:Adenocarcinoma / Q000097:blood / Q000150:complications*; D001018:Aortic Diseases / Q000097:blood / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000097:blood / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001777:Blood Coagulation; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007238:Infarction / Q000209:etiology; D007511:Ischemia / Q000209:etiology; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000097:blood / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D012811:Sigmoid Neoplasms / Q000097:blood / Q000150:complications*; D019851:Thrombophilia / Q000097:blood / Q000209:etiology*; D013927:Thrombosis / Q000097:blood / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures