title: Thrombosis of celiacomesenteric trunk: report of a case.
abstract: Here we present the case of a 79-year-old woman who complained of acute abdominal pain, vomiting and diarrhoea. Laboratory exams demonstrated a severe metabolic imbalance. Abdominal X-rays showed bowel overdistension and pneumatosis of the stomach wall. Abdominal tomography revealed infarction of the stomach, duodenum and small bowel due to thrombosis of the celiacomesenteric trunk. Exploratory laparotomy revealed ischemia of the liver, spleen infarction and necrosis of the gastro-intestinal tube (from the stomach up to the first third of the transverse colon). No further surgical procedures were performed. The patient died the following day. To our knowledge, this is the first reported case about severe gastro-intestinal ischemia due to thrombosis of the celiacomesenteric trunk, a rare anatomic variation of the gastrointestinal vascularisation.
authors.affiliation: Division of General and Vascular Surgery, San Biagio Hospital, Domodossola, Italy. fedelovi@yahoo.com
authors.forename: Federico
authors.initials: F
authors.lastname: Lovisetto
authors.forename: Gianbattista
authors.initials: G
authors.lastname: Finocchiaro De Lorenzi
authors.forename: Piera
authors.initials: P
authors.lastname: Stancampiano
authors.forename: Carmen
authors.initials: C
authors.lastname: Corradini
authors.forename: Fabio
authors.initials: F
authors.lastname: De Cesare
authors.forename: Orazio
authors.initials: O
authors.lastname: Geraci
authors.forename: Mario
authors.initials: M
authors.lastname: Manzi
authors.forename: Francesco
authors.initials: F
authors.lastname: Arceci
mesh_terms: D000368:Aged; D002445:Celiac Artery / Q000002:abnormalities; D017809:Fatal Outcome; D005260:Female; D041981:Gastrointestinal Tract / Q000098:blood supply; D006801:Humans; D007511:Ischemia / Q000209:etiology; D017538:Mesenteric Artery, Superior / Q000002:abnormalities; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis*