An unusual vascular complication in ankylosing spondylitis: Isolated thrombosis of the celiac trunk and it's branches
Abstract
A 37-year-old woman with a history of ankylosing spondylitis (AS) presented to the emergency department with acute abdominal pain. Imaging tests including ultrasonography and computed tomography (CT) angiography revealed non-occlusive thrombosis of the celiac trunk and its branches. Laboratory tests showed normal ranges for most parameters, except for mild elevation in white blood cell count and platelet count. No predisposing factors were detected through hematological investigations. The patient was started on heparinization, and surgical intervention was not required. The association between AS and thrombosis is discussed, with chronic inflammation being a possible contributing factor. This case highlights the importance of considering celiac trunk thrombosis as a cause of abdominal pain in patients with inflammatory rheumatic diseases like AS.
References
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Abstract
References
- Ahluwalia N, Nassereddin A, Futterman B. Anatomy, Abdomen and Pelvis, Celiac Trunk. Stat Pearls Publishing, Treasure Island (FL). 2022
- Bakhsh ZK, Khan R, Bashir K. Abdominal pain caused by occlusion of the celiac trunk and superior mesenteric artery in addition to irritable bowel syndrome: case series and literature review. Cureus. 2021, 13:e15729. doi: 10.7759/cureus.15729
- Mohammad Alharbi, Carlos Y Benitez, Abdullah M Alharbi, and Abdulmajeed M Alharbi. Celiac Trunk Thrombosis a Rare Cause of Acute Abdomen. Case Presentation. Cureus. 2022 Sep 29. doi: 10.7759/cureus.29727
- Wei Zhu, Xuxia He, Kaiyuan Cheng, et al. Ankylosing spondylitis: etiology, pathogenesis, and treatments. Bone Res. 2019; 7: 22. doi: 10.1038/s41413-019-0057-8
- Haroon NN, Paterson JM, Li P, Inman RD, Haroon N. Patients with ankylosing spondylitis have increased cardiovascular and cerebrovascular mortality: a population-based study. Ann Intern Med. 2015, 163:409-16.doi: 10.7326/M14-2470
- Pradnya Brijmohan Bhattad, Mugdha Kulkarni, Parasbhai D Patel, and Mazen Roumia. Cardiovascular Morbidity in Ankylosing Spondylitis: A Focus on Inflammatory Cardiac Disease. Cureus. 2022 Jun; 14(6): e25633. doi: 10.7759/cureus.25633
Details
| Primary Language | English |
|---|---|
| Subjects | Radiology and Organ Imaging, Rheumatology and Arthritis, Diagnostic Radiography |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | October 11, 2024 |
| Submission Date | April 9, 2024 |
| Acceptance Date | May 24, 2024 |
| Published in Issue | Year 2024 Volume: 1 Issue: 3 |
