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, Evangelos Athanassiou, Dimitra Loggitsi, Rebecca Moisidou, George Tzovaras, Ioannis Fezoulidis
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引用次数: 10

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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急性腹腔轴及其分支闭塞伴胃底穿孔及脾梗死的螺旋ct表现1例。
我们报告一例急性腹腔动脉闭塞伴胃穿孔并完全性脾梗死的螺旋CT增强表现。螺旋CT显示腹腔轴及其分支血栓,肠系膜上动脉狭窄,脾梗死,胃壁强化缺失,坏死间隙大。螺旋CT能迅速诊断和治疗这种罕见的疾病,怀疑是急性肠系膜缺血。
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