Ischemic hepatitis due to an occlusion of visceral arteries: a case report.
Safwan OmranAndreas GreinerPublished in: Journal of surgical case reports (2023)
Ischemic hepatitis due to mesenteric artery occlusion is extremely rare. This is due to the function of the collateral network of the celiac-mesenteric arterial system and portal venous flow. A 64-year-old male presented with abdominal pain, a significantly reduced general condition, a weight loss of 20 kg in 4 months. Computed tomography showed occlusion of the celiac trunk and the superior mesenteric artery and hypodense lesions in the liver. We performed an antegrade visceral reconstruction with a bifurcated 12-6 mm Dacron graft from the supra-celiac aortic donor to the superior mesenteric and celiac arteries. The postoperative course and follow-up were uneventful.
Keyphrases
- celiac disease
- computed tomography
- abdominal pain
- weight loss
- insulin resistance
- ischemia reperfusion injury
- bariatric surgery
- patients undergoing
- magnetic resonance imaging
- aortic valve
- positron emission tomography
- left ventricular
- heart failure
- magnetic resonance
- oxidative stress
- blood flow
- skeletal muscle
- coronary artery
- atrial fibrillation
- contrast enhanced
- lower limb