Chronic Pancreatitis-Induced Thrombosis of Celiac and Superior Mesenteric Artery
Sanekommu H. Taj S. Noor R.M. Akmal M.U. Ramirez C. Shah P. Hossain M. Arif A.
2023Elmer Press
Journal of Medical Cases
2023#14Issue 9-10322 - 326 pp.
Every year, nearly 60,000 hospitalizations occur in the United States due to chronic pancreatitis (CP). CP can cause severe chronic abdominal pain, pancreatic insufficiency, and increased risk of pancreatic cancer. While venous thrombotic complications are common, arterial thrombotic events are rarely reported in CP. This report describes a case of a 43-year-old female who presented with severe worsening abdominal pain due to CP. Diagnostic imaging disclosed thrombosis of superior mesenteric artery (SMA) and celiac artery (CA) with acute bowel wall changes reflecting ischemic changes, resulting in acute-on-chronic mesenteric ischemia. Endovascular stent placement relieved the ischemia with the resolution of pain. Arterial thrombosis should be considered as a diagnostic possibility when patients with CP present with a significant change in symptoms. Importantly, the case demonstrates that endovascular treatment with stent placement can relieve ischemia and resolve symptoms in patients with CP.
Chronic , Ischemia , Mesenteric , Occlusive mesenteric arterial ischemia , Pancreatitis
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Department of Medicine, Jersey Shore University Medical Center, Neptune City, 07753, NJ, United States
International University of Kyrgyzstan-International School of Medicine, Eastern Campus, Bishkek, Kyrgyzstan
Kazakh National Medical University, Almaty, Kazakhstan
Department of Radiology, Jersey Shore University Medical Center, Neptune City, 07753, NJ, United States
Department of Medicine
International University of Kyrgyzstan-International School of Medicine
Kazakh National Medical University
Department of Radiology
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