Gallstone associated celiac trunk thromboembolisms complicated with splenic infarction:A case report
作者机构：Department of MedicineTaipei Veterans General HospitalTaipei 112Taiwan Division of Gastroenterology and HepatologyDepartment of Internal MedicineChung Shan Medical University HospitalTaichung 402Taiwan School of MedicineChung Shan Medical UniversityTaichung 402Taiwan Department of Medical Imaging and Radiological SciencesChung Shan Medical UniversityTaichung 402Taiwan Division of Pulmonary MedicineChung Shan Medical University HospitalTaichung 402Taiwan
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2022年第10卷第25期
页 面：8968-8973页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：Gallstones Cholelithiasis Splenic infarction Cholecystectomy Thromboembolisms Case report
摘 要：BACKGROUND Gallstone disease(GD)can have prolonged,subacute inflammatory period before biliary *** intricate relationship between GD and inflammatory processes can possible lead to prothrombotic tendency that can result in confusing clinical course before *** SUMMARY A 51-year-old man,presented with a 1-year history of self-relief occasional postprandial upper abdominal pain,had sudden onset severe left upper quadrant pain and visited our emergency *** enhanced computed tomography(CECT)showed filling defect in celiac trunk,common hepatic,part of splenic arteries and wedge-shaped hypo-enhancing region of spleen,consistent with splenic infarction secondary to splenic arterial *** convincing predisposing factors were found during first *** pain mildly subsided after low molecular weight heparin and bridge to oral anticoagulant ***,in the following six months,the patient was admitted twice due to acute cholangitis and finally *** CECT revealed biliary impacted stone was adjacent to poor dissoluble *** abdominal pain did not achieve a clinical full remission until endoscopic retrograde cholangiopancreato-graphy stone removal and series laparoscopic cholecystectomy was *** This is the first case to present serious thrombotic complication due to inflammation status in chronic *** could be a rare,confusing and difficult recognizing cause of a celiac trunk thromboembolic event.
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