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. 2010 Mar 22:3:82.
doi: 10.1186/1757-1626-3-82.

Acute occlusion of the celiac axis and its branches with perforation of gastric fundus and splenic infarction, findings on spiral computed tomography: a case report

Nikolaos L Kelekis  1 , Evangelos Athanassiou, Dimitra Loggitsi, Rebecca Moisidou, George Tzovaras, Ioannis Fezoulidis
Affiliations

Acute occlusion of the celiac axis and its branches with perforation of gastric fundus and splenic infarction, findings on spiral computed tomography: a case report

Nikolaos L Kelekis et al. Cases J. .

Abstract

We present the contrast-enhanced spiral CT findings in a case of acute celiac artery occlusion with gastric perforation and total splenic infarction. Spiral CT depicted thrombus in the celiac axis and its branches, stenosis of the superior mesenteric artery, splenic infarction and lack of enhancement of the gastric wall with a large necrotic gap. Spiral CT enabled prompt diagnosis and therapy in this rare condition in a patient with suspicion of acute mesenteric ischemia.

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Figures

Figure 1
Figure 1
Contrast-enhanced spiral CT shows a large gap at the stomach wall (arrowheads) with lack of enhancement and spillage of oral contrast in the peritoneal cavity. The spleen is uniformly hypodense with thrombus (arrow) in the lumen of the calcified splenic artery. A moderate amount of perihepatic fluid and free peritoneal air are also present.
Figure 2
Figure 2
Contrast-enhanced spiral CT shows thrombus in the trunk of the celiac artery (arrow) protruding in the lumen of the abdominal aorta, and extending into the splenic artery (arrowhead).
Figure 3
Figure 3
Contrast-enhanced spiral CT at a more caudal level than on Figure 2 demonstrates significant stenosis of the proximal part of the superior mesenteric artery (arrow).
See this image and copyright information in PMC

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