Akut karın ağrısının nadir bir nedeni: İzole çölyak arter trombozu

Year 2024, Volume: 16 Issue: 2, 72 - 76, 27.08.2024

Asım Kocabay , Murat Yıldırım

Abstract

Amaç: Çölyak arter trombozu, akut karın ağrısının nadir bir nedenidir. Sıklıkla diğer kardiyovasküler olaylarla ilişkilidir. En yaygın etiyoloji koroner arter hastalığı ve aterosklerozdur. Kronik mezenterik iskemi vakaların %20-30'unda mevcut olabilir. Tedavinin temel amacı, azalmış veya durmuş kan akışını yeniden başlatmak ve uç organ iskemisini önlemektir.
Olgu sunumu: Nadir izole çölyak arter gövde tıkanıklığı nedeniyle total gastrik nekroz, dalak enfarktüsü ve kısmi karaciğer nekrozu olan 62 yaşında bir hastayı sunuyoruz.
Sonuç: Çölyak arter tıkanıklığı son organ yaralanmasından sonra ölümcül olan nadir bir durumdur. Erken tanı hayat kurtarıcı olabilir. Akut karında predispozan faktörler varsa, klinisyenin bunu aklında tutması gerektiğini düşünüyoruz.

Keywords

Tromboz , çölyak arter , akut karın

A rare cause of acute abdomen: Isolated celiac artery thrombosis

Abstract

Objective: Thrombosis of the celiac artery is a rare cause of acute abdominal pain. It is frequently associated with other cardiovascular events. The most common etiology is coronary artery disease and atherosclerosis. Chronic mesenteric ischemia may be present in 20–30% of cases. The main goal of treatment is to re-initiate decreased or stopped blood flow and prevent end-organ ischemia.
Case Report: We present a 62-year-old patient with total gastric necrosis, splenic infarction and partial liver necrosis due to rare isolated celiac artery trunk occlusion.
Conclusion: Occlusion of the celiac artery is a rare condition that is mortal after the last organ injury. Early diagnosis can be life-saving. If there are predisposing factors in acute abdomen, we think that clinician should keep in mind.

Keywords

Thrombosis , celiac artery , acute abdomen

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