We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Clinics in diagnostic imaging (176). Acute embolic occlusion of the coeliac artery.
- Authors
Appuhamy, Chinthaka; Kwan, Justin; Martin Weng Chin H'ng; Narayanan, Sriram; Punamiya, Sundeep; H'ng, Martin Weng Chin
- Abstract
A 52-year-old man, who had a background of chronic heart disease and atrial fibrillation, as well as non-compliance with warfarin therapy, presented with a two-week history of worsening upper abdominal pain. Computed tomography mesenteric angiography showed complete embolic occlusion of the coeliac artery with resultant segmental splenic infarction, and thrombus within the left ventricle. A decision was made to proceed with catheter-directed thrombolysis. Subsequent follow-up angiogram at 12 hours showed successful treatment with complete dissolution of the coeliac embolus. The patient's symptoms resolved during his hospitalisation and he was subsequently discharged well on long-term oral anticoagulation therapy. Isolated acute embolic occlusion of the coeliac axis is a rare occurrence that may result in end-organ infarction. Treatment options include systemic anti-coagulation, mechanical thrombectomy, catheter thrombolysis or open surgery. Catheter-directed thrombolysis therapy is a feasible and effective option for treating acute thromboembolic occlusion of the coeliac artery.
- Subjects
CELIAC disease; ABDOMINAL pain; SPLENIC artery; THROMBOLYTIC therapy; INFARCTION; PATIENTS; DISEASES; DISEASE risk factors
- Publication
Singapore Medical Journal, 2017, Vol 58, Issue 4, p184
- ISSN
0037-5675
- Publication type
journal article
- DOI
10.11622/smedj.2017028