Acute occlusion of the celiac axis and its branches with perforation of gastric fundus and splenic infarction, findings on spiral computed tomography: a case report.
We present the contrast-enhanced spiral CT findings in a case of acute celiac artery occlusion with gastric perforation and total splenic infarction. Spiral CT depicted thrombus in the celiac axis and its branches, stenosis of the superior mesenteric artery, splenic infarction and lack of enhancement of the gastric wall with a large necrotic gap. Spiral CT enabled prompt diagnosis and therapy in this rare condition in a patient with suspicion of acute mesenteric ischemia.
Kelekis
Nikolaos L
NL
2nd Department of Radiology, National and Kapodistrian University of Athens, General University Hospital Attikon, Rimini 1str, 12462, Athens, Greece. kelnik@med.uoa.gr.
Athanassiou
Evangelos
E
Loggitsi
Dimitra
D
Moisidou
Rebecca
R
Tzovaras
George
G
Fezoulidis
Ioannis
I
Am J Surg. 2000 Mar;179(3):172-6
10827312
Am J Gastroenterol. 2000 Oct;95(10):3003-4
11051401
Dig Dis Sci. 2001 May;46(5):981-4
11341668
Br Med J. 1967 Nov 25;4(5577):460-3
5299204
Surgery. 1986 Oct;100(4):743-50
3764696
J Vasc Interv Radiol. 1999 Apr;10(4):500-4
10229482
Nouv Presse Med. 1981 Apr 25;10(18):1489-91
6973139
AIDS Read. 2000 Dec;10(12):718-21
11189743
Angiology. 2000 Jul;51(7):603-7
10917586
Radiology. 2003 Oct;229(1):91-8
12944600
Mayo Clin Proc. 1986 Dec;61(12):967-72
3773568
Cardiovasc Intervent Radiol. 1995 Jan-Feb;18(1):16-9
7788627