Chronic abdominal pain caused by stenosis of celiac trunk – case report
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Department of Internal Medicine, Medical Universiy, Lublin, Poland
II Department of Radiology, Medical University, Lublin, Poland
Department of Vascular Surgery and Angiology, Medical University, Lublin, Poland
Human Anatomy Department, Medical University, Lublin, Poland
I Department of Radiology, Medical University, Lublin, Poland
JPCCR 2010;4(2):168–170
An 63-year-old male patient was admitted to the Department of Internal Medicine due to the presence of intra-abdominal and epigastric pain lasting one year. During hospitalization the following examination were performed: X-ray of the chest, cervical, thoracic and lumbar regions of the spinal column, panendoscopy and ultrasonography of the abdomen, none of which showed any abnormalities. The angio-CT of visceral arteries revealed isolated, critical stenosis of the celiac trunk in its proximal part. The symptoms regressed after procedure of stent implantation to the celiac trunk.
Andrzej Prystupa   
Department of Internal Medicine, Medical University, Lublin, Staszica 16, 20-081 Lublin, Poland.
1. Clouse RE, Mayer EA, Aziz Q, Drossman DA, Dumitrascu DL, Mönnikes H, Naliboff BD: Functional abdominal pain syndrome. Gastroenterology 2006, 130, 1492-1497.
2. Randon CD, De Roose JE, Vermassen FE. Antegrade Revascularization for chronic mesenteric ischaemia. Acta Chir Belg 2006, 106, 625- 629.
3. Sarr MG, Dickson ER, Newcomer AD: Diastolic bruit in chronic intestinal ischaemia. Recognition by abdominal phonoangiography. Dig Dis Sci 1980, 25, 761-762.
4. Marciniak T: Anatomy of a normal man. Medical University, Wroclaw 1991. Bochenek A, Reicher M: Anatomia człowieka, vol. III (in Polish). Human Anatomy, vol. III. Wydawnictwo Lekarskie PZWL 2002, 277.
5. Sridhar K Varma, Pamidi N, Vollala VR, Bolla SR: Hepato-splenomesenterica trunk: a case report. Rom J Morphol Embryol 2010, 51, 401-402.
6. Clemett AR, Chung J: The radiological diagnosis of spontaneous mesenteric venous thrombisis. Am J Gastroenterol 1975, 63, 209-215.
7. Hansen KJ, Wilson DB, Craven TE, Pearce JD, English WP, Edwards MS, Ayerdi J, Burke GL: Mesenteric artery disease in the elderly. J Vasc Surg 2004, 40, 45-52.
8. Ozbulbul N: CT angiography of the celiac trunk: anatomy, variants and pathologic findings. Diagn Interv Radiol 2010, 10, 1305.
9. Thony F, Baguet JP, Rodiere M, Sessa C, Janbon B, Ferretti G: Renal artery entrapment by the diaphragmatic crus. Eur Radiol 2005, 15, 1841-1849.
10. Park CM, Chung JW, Kim HB, Shin SJ, Park JH: Celiac axis stenosis: incidence and etiologies in asymptomatic individuals. Korean J Radiol 2001, 2, 8-13.
11. De Monti M, Ghilardi G, Caverni L, Ceriani L, Soldi S, Massaro F, Buchbut R, Gobatti D, Scorza R: Multidetector helical angio CT oblique reconstructions orthogonal to internal carotid artery for preoperative evaluation of stenosis. A prospective study of comparison with color Doppler US, digital subtraction angiography and intraoperative data. Minerva Cardioangiol 2003, 51, 373-385.
12. Sosnowski M, Pysz P, Gola A, Szymański L, Tendera M: Coronary artery visualization using a 64-row multi-slice computed tomography in unselected patients with definite or suspected coronary artery disease: a comparison with invasive coronary angiography. Cardiol J 2009, 16, 413-417.
13. Fioole B, van de Rest HJ, Meijer JR, van Leersum M, van Koeverde S, Moll FL, van den Berg JC, de Vries JP: Percutaneous transluminal angioplasty and stenting as first-choice treatment in patients with chronic mesenteric ischemia. J Vasc Surg 2010, 51, 386-391.
14. Kruger AJ, Walker PJ, Foster WJ, Jenkins JS, Boyne NS, Jenkins J: Open surgery for atherosclerotic chronic mesenteric ischemia. J Vasc Surg 2007, 46, 941-945.
15. Sivamurthy N, Rhodes JM, Lee D, Waldman DL, Green RM, Davies MG: Endovascular versus open mesenteric revascularization: immediate benefits do not equate with short-term functional outcomes. J Am Coll Surg 2006, 6, 859-867.