ISSN: 2329-9495
+44 1478 350008
Sobhi Mlaihi
Tunisia
Case Report
Aorto-Hepatic By-Pass Grafting as Treatment Option After Acute Thrombosis of a Celiac Trunk Stenting. Report of a Case
Author(s): Mohamed Ben Hammamia, Jalel Ziadi, Sobhi Mlaihi, Zied Daoud, Faker Ghedira, Malek Ben Mrad, and Raouf Denguir
Mohamed Ben Hammamia, Jalel Ziadi, Sobhi Mlaihi, Zied Daoud, Faker Ghedira, Malek Ben Mrad, and Raouf Denguir
Celiac trunk thrombosis is a rare event after percutaneous stenting. Treatment options include surgery or endovascular approach. We report the case of a diabetic female patient of 56 years old with a recurrent chronic mesenteric ischemia related to celiac trunk stenosis. We choose endovascular approach and we performed a stenting of this lesion with a ballon expendable stent of 6 × 29 mm. Acute abdomen occurred at the first postoperative day. Acute mesenteric ischemia was suspected. CT scan objectified a stent thrombosis and beginning of intestinal distress. Because of doubt of intestinal viability, we performed urgently a laparotomy and an anterograde aorto-hepatic bypass. Post-operative course was satisfactory. We put the patient on platelet antiaggregant therapy. One year after, CT scan confirms graft patency. Acute thrombosis of a celiac trunk stenting is an emergency and di.. View More»
DOI:
10.4172/2329-9495.1000206