Possible cause underlying gastric necrosis and perforation: Celiac artery thrombosis

Abstract

In this article, we are sharing a case of a 76-year-old woman with known hypertension, atrial fibrillation,diabetes mellitus, coronary artery disease, who is presenting with stomach necrosis and perforation possibly due to celiac artery thrombosis after newly developed abdominal pain and bloody vomiting. In our case, emergency surgery was planned and the patient refused the operation and was lost at 48 hours of clinical follow-up. We aimed to discuss the etiology of celiac artery thrombosis, briefly. We believe that necrosis and perforation of the stomach due to celiac artery thrombosis deserves to be shared because it is a rare and difficult case to manage.

Keywords

• Gastric necrosis,Celiac artery,thrombosis

Gastrik nekroz ve perforasyonda olasi sebep: Çölyak arteri trombozu

Öz

Bu yazıda bilinen hipertansiyon, atriyal fibrilasyon, diyabet, koroner arter hastalığı olan 76 yaşında bir kadın hastada   yeni gelişen karın ağrısı ve kanlı kusma sonrasında olası çölyak arter trombozuna bağlı mide nekrozu ve perforasyonu olgusunu paylaşıyoruz. Olgumuzda acil cerrahi planlandı ancak hasta operasyonu reddetti ve 48 saatlik klinik izlemde yaşamı sona erdi. Çölyak arter trombozu etyolojisini kısaca tartışmayı amaçladık. Çölyak arter trombozuna bağlı mide nekrozu nadir görülmesinin yanında tanı konulması zor  bir klinik durum olduğu için paylaşmaya değer bulduk. 

Anahtar Kelimeler

• Gastrik nekroz,Çölyak arter,Tromboz

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