Isolated Common Hepatic Artery Branch Thrombosis: Results and Risk Factors.
Isolated common hepatic artery branch thrombosis with severe gastric ischemia and duodenojejunal infarction is a rare condition; it usually presents with acute abdomen and may be associated with underlying thrombotic risk factors. We present a 35-year-old man admitted to our hospital with five days history of sudden abdominal pain and deteriorating epigastric pain. He was a driver and had no any past medical history. Explorative laparotomy showed: distal 2/3 gastric, duodenojejunal and papilla vater was sloughed. The stomach subtotal and sloughed duodenum and first 20 cm of jejunum were resected, continuity of the gastrointestinal was preserved with anastomosis of the proximal part of jejunum to gastric stump, pancreatic duct, and CBD repaired to the lateral side of jejunum on the guide of two 18 French feeding tube as an external drain. The patient had a good immediate postoperative recovery. Coagulation checkup after operation revealed isolated Hyperhomocysteinemia.
Department of Surgery, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran.
Abdoulhossein
A
Davoodabadi
Department of Radiology, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran.
Hamid Reza
HR
Talari
Department of Surgery, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran.
Maseeh
M
Jahanbakhsh
D000328:Adult; D004386:Duodenum / Q000473:pathology; D006499:Hepatic Artery / Q000473:pathology*; D006801:Humans; D020138:Hyperhomocysteinemia / Q000175:diagnosis*; D008297:Male; D012307:Risk Factors; D013927:Thrombosis / Q000473:pathology*
Gastric ischemic necrosis duodenojejunal sloughing; Hyperhomocysteinemia; Isolated common hepatic artery branch thrombosis