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Acute celiac artery occlusion secondary to blunt trauma:Two case reports

World Journal of Clinical Cases 2020年第23期8卷 6164-6171页

作者： Hui Li Yu Zhao Yan-An Xu Tao Li Jun Yang Ping Hu Tao Ai Department of Traumatology Chongqing University Central HospitalChongqing 400080China Department of Radiology Chongqing University Central HospitalChongqing 400080China

BACKGROUND Acute celiac artery(CA)injuries are extremely rare but potentially life-threatening and are more often caused by a penetrating injury rather than a blunt *** clinical manifestation of CA injuries is usually atypical,which easily causes missed diagnosis and ***,there are only a few reports of acute traumatic occlusion of *** CA artery gives off branches to dominate the liver,*** spleen;however,occluded CA did not cause significant organ ischemia,and the compensatory blood flow from the superior mesenteric artery(SMA)played a pivotal *** SUMMARY Herein,we report two cases of acute CA occlusion secondary to severe blunt *** one was a 19-year-old male,suffered from a motorcycle *** complained of dyspnea,and the closed drainage was performed soon after the hemopneumothorax was confirmed by *** tomography(CT)scan revealed hemopneumothorax,multiple rib fractures,right scapular fracture,and liver *** with contrast-enhanced CT suggested perihepatic fluid was significantly increased,and CA was *** the hepatic hemorrhage is associated with hepatic artery injury,the CA was retrogradely opened through the SMA,and then,the right hepatic artery was embolized with coils successfully through the conventional *** implantation was not performed,and the CA occlusion was managed by conservative treatment.A follow-up CT scan 3 mo after discharge showed the origin of CA remained *** two was a 37-year-old man,suffered injury from fall from *** complained of lower back and bilateral heel ***-enhanced CT examination revealed multiple rib fractures,bilateral pneumothorax,fourth lumbar(L4)vertebral burst fracture,and pelvic ***,a small high-density mass in a lesser peritoneal sac and in front of the abdominal aorta was *** reexamination 14 h after admission showed the CA was *** patient was conservatively treat

关键词： celiac artery Acute occlusion Superior mesenteric artery Multiple trauma Liver injury Case report Collateral branches

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Clinical features and progress of ischemic gastritis with high fatalities: Seven case reports

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World Journal of Clinical Cases 2022年第24期10卷 8686-8694页

作者： Kento Shionoya Akiko Sasaki Hidekazu Moriya Karen Kimura Takashi Nishino Jun Kubota Chihiro Sumida Junichi Tasaki Chikamasa Ichita Makomo Makazu Sakue Masuda Kazuya Koizumi Jun Kawachi ToshitakaTsukiyama Makoto Kako Gastroenterology Medicine Center Shonan Kamakura General HospitalKamakura 247-8533KanagawaJapan Department of General Internal Medicine Shonan Kamakura General HospitalKamakura 247-8533KanagawaJapan Department of General Surgery Shonan Kamakura General HospitalKamakura 247-8533KanagawaJapan Department of Radiology Shonan Kamakura General HospitalKamakura 247-8533Japan

BACKGROUND Ischemic gastritis is a clinically rare and highly fatal disease that occurs when the hemodynamics of a patient with vascular risk is *** diagnosis and treatment are possible only with upper endoscopy after symptom *** report seven cases of ischemic gastritis and its clinical features,prognosis,and indicators that may help in early *** SUMMARY Of the seven patients,six had vascular risk and five died within 2 wk of *** symptoms included hematemesis and *** surgery is a choice for radical treatment,not all patients were *** such patients,conservative treatment was selected,but all of them *** contrast,patients who underwent repeat endoscopy showed improved mucosal findings,suggesting that this improvement may not affect *** ischemic changes such as wall thickening,mural emphysema,and fluid retention in the stomach were observed before diagnosis through endoscopy and computed tomography(CT).The CT scan can be effective for early detection,and improvement in circulatory failure and aggressive treatment may save the lives of patients with this *** The characteristic CT findings enable early detection of ischemic *** diagnosis increases the chance of survival if early therapeutic intervention and improvement of circulatory dynamics can be achieved in this highly fatal disease.

关键词： celiac artery Gastrointestinal bleeding Ischemic gastritis Superior mesenteric artery Vascular risk Case report

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Pancreatic cancer surgery with vascular resection: current concepts and perspectives

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Journal of Pancreatology 2019年第1期2卷 1-5页

作者： Artur Rebelo Christoph W.Michalski Jörg Ukkat Jörg Kleeff Department of Visceral Vascular and Endocrine SurgeryHalle University HospitalMartin-Luther-University Halle-WittenbergHalleGermany

Pancreatic cancer is a devastating disease and resection at an early disease stage is the best chance of cure. Less than 20% of all patients present with a resectable tumor, while another 20% to 30% have locally advanced pancreatic cancer and the majority of the patient suffer from metastatic disease. Recently, it has been recognized that there is a 4th group of patients with so-called borderline resectable disease. Here, the tumor approaches or infiltrates the vascular axis (superior mesenteric vein/portal vein and/or superior mesenteric/hepatic artery/celiac trunk). While a large number of tumors with suspected venous infiltration can be resected with concomitant venous resection and reconstruction, arterial infiltration has been considered a contraindication to resection. Neoadjuvant treatment with combination chemotherapy protocols with or without radiotherapy has allowed for higher resection rates even in patients with arterial invasion. Here, we review the contemporary literature on extensive pancreatic cancer surgery with vascular resection and reconstruction.

关键词： Borderline pancreatic cancer celiac artery Hepatic artery Neoadjuvant chemotherapy Pancreatic cancer Portal vein Superior mesenteric artery Superior mesenteric vein Vascular resection

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