Acute Abdomen Resulting from Concurrent Thrombosis of Celiac Trunk and Superior Mesenteric Artery

Mesenteric ischemia is one of the most mortal diseases of the gastrointestinal system causing acute abdomen. In most of the patients, the etiological factor is the obstructive embolism or thrombosis of superior mesenteric artery. In the literature, there have been reports regarding also celiac trunk occlusion in rare situations. The gold standard treatment relies on early diagnosis. The originality of our report relies on the concurrent obstruction of both vascular structures.

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Endovascular management of chronic mesenteric ischemia: a single centre experience in Western Rajasthan, India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20172449 ◽

2017 ◽

Vol 5 (6) ◽

pp. 2572

Author(s):

Pawan Sarda ◽

Goutam Kumar ◽

Deepak Gupta ◽

Sanjeev Sanghvi ◽

Anil Baroopal

Keyword(s):

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Percutaneous Transluminal Angioplasty ◽

Inferior Mesenteric Artery ◽

Mesenteric Ischemia ◽

Celiac Trunk ◽

Transluminal Angioplasty ◽

Chronic Mesenteric Ischemia ◽

Percutaneous Transluminal

Background: Chronic mesenteric ischemia (CMI) or mesenteric angina is a condition characterised by inadequate blood supply to bowel as a result of stenosis affecting one or more of the three mesenteric arteries: the celiac artery (CA), the superior mesenteric artery (SMA) and the inferior mesenteric artery (IMA).Methods: Ten patients with significant lesion, treated with PTA and stenting were selected for study and were followed at 2 weeks, at 2 months then at 6 months after index procedure to see composite of symptomatic improvement, weight gain and revascularization.Results: On mesenteric angiography, significant ostial stenosis of celiac trunk and superior mesenteric artery in 5 patients, 3 patients had significant ostial stenosis of celiac trunk and ostial stenosis of inferior mesenteric artery and 2 patients had significant stenosis of superior mesenteric artery. Percutaneous transluminal angioplasty (PTA) and stenting was done, final result was good and there was no residual stenosis and dissection. After stenting patients were stable and pain free. There were no post-operative complications. Follow up was done after 2 weeks and 2 months and then at six months. There was no postprandial abdominal pain on follow up and almost all patient had gained weight in 2 months and on 6 months of follow up, no case of repeat revascularization was recorded.Conclusions: Percutaneous transluminal angioplasty (PTA) and stenting to mesenteric artery is good alternative management of CMI. In present series, all cases were susses fully revascularized without residual stenosis and dissection.

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Inferior Mesenteric Artery Stenting as a Novel Treatment for Chronic Mesenteric Ischemia in Patients with an Occluded Superior Mesenteric Artery and Celiac Trunk

European Journal of Vascular and Endovascular Surgery ◽

10.1016/j.ejvs.2014.01.008 ◽

2014 ◽

Vol 47 (4) ◽

pp. 455

Author(s):

M. Wohlauer ◽

H. Kobeiter ◽

P. Desgranges ◽

J.P. Becquemin ◽

F. Cochennec

Keyword(s):

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Inferior Mesenteric Artery ◽

Mesenteric Ischemia ◽

Celiac Trunk ◽

Chronic Mesenteric Ischemia ◽

Novel Treatment

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Inferior Mesenteric Artery Stenting as a Novel Treatment for Chronic Mesenteric Ischemia in Patients with an Occluded Superior Mesenteric Artery and Celiac Trunk

EJVES Extra ◽

10.1016/j.ejvsextra.2014.01.001 ◽

2014 ◽

Vol 27 (3) ◽

pp. e21-e23 ◽

Cited By ~ 1

Author(s):

M. Wohlauer ◽

H. Kobeiter ◽

P. Desgranges ◽

J.P. Becquemin ◽

F. Cochennec

Keyword(s):

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Inferior Mesenteric Artery ◽

Mesenteric Ischemia ◽

Celiac Trunk ◽

Chronic Mesenteric Ischemia ◽

Novel Treatment

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Anatomic Revascularization of the Celiac Trunk and the Superior Mesenteric Artery

Aorta ◽

10.1055/s-0038-1639378 ◽

2018 ◽

Vol 06 (01) ◽

pp. 041-042

Author(s):

Murat Ugurlucan ◽

Nihat Aksakal ◽

Yilmaz Onal ◽

Didem Oztas ◽

Ufuk Alpagut

Keyword(s):

Weight Loss ◽

Abdominal Pain ◽

Major Depression ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Mesenteric Ischemia ◽

Celiac Trunk ◽

Endovascular Techniques ◽

Risks And Benefits ◽

Severe Weight Loss

AbstractChronic atherosclerotic mesenteric ischemia is a debilitating disorder. It may cause postprandial abdominal pain leading to severe weight loss. Patients are usually emotionally affected with major depression. The disease can be treated with open surgical and endovascular techniques and both methods have individual risks and benefits. In this report, the authors present anatomical revascularization of the superior mesenteric artery and the celiac trunk.

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Percutaneous retrograde crossing of a near-occluded celiac trunk via the superior mesenteric artery as an adjuvant maneuver for antegrade stenting

Jornal Vascular Brasileiro ◽

10.1590/1677-5449.002415 ◽

2016 ◽

Vol 15 (1) ◽

pp. 61-65 ◽

Cited By ~ 1

Author(s):

Martin Andreas Geiger ◽

◽

Joren Callaert ◽

Koen Deloose ◽

Marc Bosiers ◽

...

Keyword(s):

Weight Loss ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Mesenteric Ischemia ◽

Celiac Trunk ◽

Chronic Mesenteric Ischemia ◽

Antegrade Approach ◽

Progressive Weight Loss ◽

Near Occlusion ◽

Upper Abdominal

Abstract We describe the case of a 63-year-old woman with chronic mesenteric ischemia, persistent postprandial upper abdominal pain and progressive weight loss. Retrograde recanalization was performed via the superior mesenteric artery in order to achieve the goal of crossing the near-occlusion, showing that retrograde catheterization of the celiac trunk can be a feasible approach in challenging cases in which an antegrade approach fails as a single maneuver.

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What comprises the plate-like structure between the pancreatic head and the celiac trunk and superior mesenteric artery? A proposal for the term “P–A ligament” based on anatomical findings

Anatomical Science International ◽

10.1007/s12565-020-00597-1 ◽

2021 ◽

Author(s):

Satoru Muro ◽

Wachirawit Sirirat ◽

Daisuke Ban ◽

Yuichi Nagakawa ◽

Keiichi Akita

Keyword(s):

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Pancreatic Head ◽

Celiac Trunk ◽

Dorsal Side ◽

Uncinate Process ◽

Anatomical Basis ◽

The Right ◽

Upper Abdomen ◽

Macroscopic Examination

AbstractA plate-like structure is located posterior to the portal vein system, between the pancreatic head and roots and/or branches of two major arteries of the aorta: the celiac trunk and superior mesenteric artery. We aimed to clarify the distribution and components of this plate-like structure. Macroscopic examination of the upper abdomen and histological examination of the plate-like structure were performed on 26 cadavers. The plate-like structure is connected to major arteries (aorta, celiac trunk, superior mesenteric artery) and the pancreatic head; it contains abundant fibrous bundles comprising nerves, vessels, collagen fibers, and adipose tissue. Furthermore, it consists of three partly overlapping fibrous components: rich fibrous bundles (superior mesenteric artery plexus) fused to the uncinate process of the pancreas; fibrous bundles arising from the right celiac ganglion and celiac trunk that spread radially to the dorsal side of the pancreatic head and superior mesenteric artery plexus; and fibrous bundles, accompanied by the inferior pancreaticoduodenal artery, entering the pancreatic head. The plate-like structure is the pancreas–major arteries (aorta, celiac trunk, superior mesenteric artery) ligament (P–A ligament). The term “P–A ligament” may be clinically useful and can facilitate comprehensive understanding of the anatomy surrounding the pancreatic head and provide an anatomical basis for further pancreatic surgery studies.

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