Critical ostial celiac trunk stenosis presenting as abdominal angina during massive pulmonary embolism with cardiogenic shock.
Massive pulmonary embolism complicated by cardiogenic shock and severe abdominal pain represents both a diagnostic and therapeutic challenge. We present the case of a critically ill patient in whom acute abdominal ischemia, which was caused by splanchnic hypoperfusion secondary to critical ostial celiac trunk stenosis, manifested during the course of massive pulmonary embolism complicated by a cardiogenic shock.
Belohlavek
Jan
J
Department of Internal Medicine II, General Teaching Hospital, Charles University Prague, Prague, Czech Republic. jbelo@vfn.cz
Beran
Stanislav
S
Linhart
Ales
A
D015746:Abdominal Pain / Q000175:diagnosis* / Q000209:etiology*; D000792:Angiography; D002445:Celiac Artery / Q000473:pathology*; D003251:Constriction, Pathologic / Q000150:complications / Q000175:diagnosis; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D007511:Ischemia / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D011655:Pulmonary Embolism / Q000150:complications* / Q000175:diagnosis; D012770:Shock, Cardiogenic / Q000150:complications* / Q000175:diagnosis; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use; D016896:Treatment Outcome
D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator