Case Report
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Possible cause underlying gastric necrosis and perforation: Celiac artery thrombosis

Year 2017, Volume: 1 Issue: 3, 62 - 64, 28.12.2017
https://doi.org/10.28982/josam.347952

Abstract

In this article, we are sharing a case of a 76-year-old woman with known hypertension, atrial fibrillation,diabetes mellitus, coronary artery disease, who is presenting with stomach necrosis and perforation possibly due to celiac artery thrombosis after newly developed abdominal pain and bloody vomiting. In our case, emergency surgery was planned and the patient refused the operation and was lost at 48 hours of clinical follow-up. We aimed to discuss the etiology of celiac artery thrombosis, briefly. We believe that necrosis and perforation of the stomach due to celiac artery thrombosis deserves to be shared because it is a rare and difficult case to manage.

References

  • Trellopoulos G, Pikilidou M, Tsiga E. Celiac artery embolism due to thrombophilia: A case Report. Int J Angıol 2009; 18(2):96-98.
  • Schoots IG, Koffeman GI, Legemate DA, Levi M, van Gulik TM. Systematic review of survival after acute mesenteric ischaemia according to disease aetiology. British Journal of Surgery 2004; 91(1):17–27.
  • Salinas J, Georgiev T, Gonza´ lez-Sa´nchez JA, Lo´ pez-Ruiz E, Rodrı´guezMontes JA. Gastric necrosis: a late complication of nissen fundoplication. World J Gastrointest Surg 2014;6(9):183–86.
  • Komaç A, Yıldırım M, Günay S, Kaypak MA, Yıldız C, Akar H. Successful management of idiopathic gastric necrosis in a geriatric patient. Europ Geriat Med. 2016;7: 360-63.
  • Kanetaka K, Azuma T, Ito S, Yamaguchi S, Matsuo S, Kanematsu T. Gastric necrosis after an infarction of the spleen: report of a case. Surg Today 2003; 33: 867–69.
  • Turan MS, Canbay E, Karadayı K, Yıldız E. Gastric necrosis and perforation caused by acute gastric dilatation: report of a case. Surg Today 2003; 33: 302– 4.
  • Bortul M, Scaramucci M, Tonello C, Spivach A, Liguori G. Gastric wall necrosis from organo-axial volvulus as a late complication of laparoscopic gastric banding. Obes Surg 2004; 14: 285-87.
  • Saravana K, Zainal AA, Lee SK. Coeliac artery thrombosis: An uncommon cause of an acute abdomen. Med J Malaysia 2011; 66(3): 69-74.
  • Heys SD, Brittenden J, Crofts TJ. Acute mesenteric ischemia:the continuing difficulty in early diagnosis. Postgrad Med J 1993; 69: 48-51.
  • Mc Kinsey JF, Gewertz BL. Acute mesenteric ischemia. Surg Clin North Am 1997; 77: 307-9.
  • Keskin HA, Yetişir F, Bayram H, Bayraktaroğlu MS, Şimşek E, Kılıç M, et al. Celiac artery thrombosis and superior mesenteric artery stenoses with essential thrombocythemia case reports. Medicine 2012; 3-5.
  • Serck LC, Cogbill TH. Aortic, celiac axis and superior mesenteric artery thrombosis associated with sigmoid colon adenocarcinoma and hypercoagulable state.Vasc Endovasculer Surgical 2009; 43: 284-5.
  • Kanth R, Chamany T, Ramesh MA. Case of celiac artery and inferior mesenteric artery thrombosis in a patient with protein C & S deficiency. SEAJCRR 2006; (4): 2319-24.
  • Kumaran C,Chung AF, Ooi LP, Chow PH, Wong WK. Coeliac artery thrombosis in acute pancreatitis causing total gastric necrosis. ANZ J Surgical 2006; 76: 273-4.
  • Arul GS, Dolan G, Rance CH, Singh SJ, Sommers J. Coeliac axis thrombosis associated with the combined oral contraceptive pill: a rare cause of an acute abdomen. Pediatr Surg Int. 1998; 13: 285–7.

Gastrik nekroz ve perforasyonda olasi sebep: Çölyak arteri trombozu

Year 2017, Volume: 1 Issue: 3, 62 - 64, 28.12.2017
https://doi.org/10.28982/josam.347952

Abstract

Bu yazıda bilinen hipertansiyon, atriyal fibrilasyon, diyabet, koroner arter hastalığı olan 76 yaşında bir kadın hastada   yeni gelişen karın ağrısı ve kanlı kusma sonrasında olası çölyak arter trombozuna bağlı mide nekrozu ve perforasyonu olgusunu paylaşıyoruz. Olgumuzda acil cerrahi planlandı ancak hasta operasyonu reddetti ve 48 saatlik klinik izlemde yaşamı sona erdi. Çölyak arter trombozu etyolojisini kısaca tartışmayı amaçladık. Çölyak arter trombozuna bağlı mide nekrozu nadir görülmesinin yanında tanı konulması zor  bir klinik durum olduğu için paylaşmaya değer bulduk. 

References

  • Trellopoulos G, Pikilidou M, Tsiga E. Celiac artery embolism due to thrombophilia: A case Report. Int J Angıol 2009; 18(2):96-98.
  • Schoots IG, Koffeman GI, Legemate DA, Levi M, van Gulik TM. Systematic review of survival after acute mesenteric ischaemia according to disease aetiology. British Journal of Surgery 2004; 91(1):17–27.
  • Salinas J, Georgiev T, Gonza´ lez-Sa´nchez JA, Lo´ pez-Ruiz E, Rodrı´guezMontes JA. Gastric necrosis: a late complication of nissen fundoplication. World J Gastrointest Surg 2014;6(9):183–86.
  • Komaç A, Yıldırım M, Günay S, Kaypak MA, Yıldız C, Akar H. Successful management of idiopathic gastric necrosis in a geriatric patient. Europ Geriat Med. 2016;7: 360-63.
  • Kanetaka K, Azuma T, Ito S, Yamaguchi S, Matsuo S, Kanematsu T. Gastric necrosis after an infarction of the spleen: report of a case. Surg Today 2003; 33: 867–69.
  • Turan MS, Canbay E, Karadayı K, Yıldız E. Gastric necrosis and perforation caused by acute gastric dilatation: report of a case. Surg Today 2003; 33: 302– 4.
  • Bortul M, Scaramucci M, Tonello C, Spivach A, Liguori G. Gastric wall necrosis from organo-axial volvulus as a late complication of laparoscopic gastric banding. Obes Surg 2004; 14: 285-87.
  • Saravana K, Zainal AA, Lee SK. Coeliac artery thrombosis: An uncommon cause of an acute abdomen. Med J Malaysia 2011; 66(3): 69-74.
  • Heys SD, Brittenden J, Crofts TJ. Acute mesenteric ischemia:the continuing difficulty in early diagnosis. Postgrad Med J 1993; 69: 48-51.
  • Mc Kinsey JF, Gewertz BL. Acute mesenteric ischemia. Surg Clin North Am 1997; 77: 307-9.
  • Keskin HA, Yetişir F, Bayram H, Bayraktaroğlu MS, Şimşek E, Kılıç M, et al. Celiac artery thrombosis and superior mesenteric artery stenoses with essential thrombocythemia case reports. Medicine 2012; 3-5.
  • Serck LC, Cogbill TH. Aortic, celiac axis and superior mesenteric artery thrombosis associated with sigmoid colon adenocarcinoma and hypercoagulable state.Vasc Endovasculer Surgical 2009; 43: 284-5.
  • Kanth R, Chamany T, Ramesh MA. Case of celiac artery and inferior mesenteric artery thrombosis in a patient with protein C & S deficiency. SEAJCRR 2006; (4): 2319-24.
  • Kumaran C,Chung AF, Ooi LP, Chow PH, Wong WK. Coeliac artery thrombosis in acute pancreatitis causing total gastric necrosis. ANZ J Surgical 2006; 76: 273-4.
  • Arul GS, Dolan G, Rance CH, Singh SJ, Sommers J. Coeliac axis thrombosis associated with the combined oral contraceptive pill: a rare cause of an acute abdomen. Pediatr Surg Int. 1998; 13: 285–7.
There are 15 citations in total.

Details

Subjects ​Internal Diseases
Journal Section Case report
Authors

Ahmet Peker

Hakan Yarkıcı

Elif Ertürk This is me

Harun Akar

Publication Date December 28, 2017
Published in Issue Year 2017 Volume: 1 Issue: 3

Cite

APA Peker, A., Yarkıcı, H., Ertürk, E., Akar, H. (2017). Possible cause underlying gastric necrosis and perforation: Celiac artery thrombosis. Journal of Surgery and Medicine, 1(3), 62-64. https://doi.org/10.28982/josam.347952
AMA Peker A, Yarkıcı H, Ertürk E, Akar H. Possible cause underlying gastric necrosis and perforation: Celiac artery thrombosis. J Surg Med. December 2017;1(3):62-64. doi:10.28982/josam.347952
Chicago Peker, Ahmet, Hakan Yarkıcı, Elif Ertürk, and Harun Akar. “Possible Cause Underlying Gastric Necrosis and Perforation: Celiac Artery Thrombosis”. Journal of Surgery and Medicine 1, no. 3 (December 2017): 62-64. https://doi.org/10.28982/josam.347952.
EndNote Peker A, Yarkıcı H, Ertürk E, Akar H (December 1, 2017) Possible cause underlying gastric necrosis and perforation: Celiac artery thrombosis. Journal of Surgery and Medicine 1 3 62–64.
IEEE A. Peker, H. Yarkıcı, E. Ertürk, and H. Akar, “Possible cause underlying gastric necrosis and perforation: Celiac artery thrombosis”, J Surg Med, vol. 1, no. 3, pp. 62–64, 2017, doi: 10.28982/josam.347952.
ISNAD Peker, Ahmet et al. “Possible Cause Underlying Gastric Necrosis and Perforation: Celiac Artery Thrombosis”. Journal of Surgery and Medicine 1/3 (December 2017), 62-64. https://doi.org/10.28982/josam.347952.
JAMA Peker A, Yarkıcı H, Ertürk E, Akar H. Possible cause underlying gastric necrosis and perforation: Celiac artery thrombosis. J Surg Med. 2017;1:62–64.
MLA Peker, Ahmet et al. “Possible Cause Underlying Gastric Necrosis and Perforation: Celiac Artery Thrombosis”. Journal of Surgery and Medicine, vol. 1, no. 3, 2017, pp. 62-64, doi:10.28982/josam.347952.
Vancouver Peker A, Yarkıcı H, Ertürk E, Akar H. Possible cause underlying gastric necrosis and perforation: Celiac artery thrombosis. J Surg Med. 2017;1(3):62-4.