title: Critical ostial celiac trunk stenosis presenting as abdominal angina during massive pulmonary embolism with cardiogenic shock.
abstract: 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.
authors.affiliation: Department of Internal Medicine II, General Teaching Hospital, Charles University Prague, Prague, Czech Republic. jbelo@vfn.cz
authors.forename: Jan
authors.initials: J
authors.lastname: Belohlavek
authors.forename: Stanislav
authors.initials: S
authors.lastname: Beran
authors.forename: Ales
authors.initials: A
authors.lastname: Linhart
mesh_terms: 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
chemical_list: D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator