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Acute occlusion of the celiac axis and its branches with perforation of gastric fundus and splenic infarction, findings on spiral computed tomography: a case report

Nikolaos L Kelekis1*, Evangelos Athanassiou2, Dimitra Loggitsi1, Rebecca Moisidou3, George Tzovaras2 and Ioannis Fezoulidis3

Author Affiliations

1 2nd Department of Radiology, National and Kapodistrian University of Athens, General University Hospital Attikon, Rimini 1str, 12462, Athens, Greece

2 Department of Surgery, Medical School, University of Thessalia, Papakiriazi 22 str, 41222 Larissa, Greece

3 Department of Radiology, University of Thessalia, Medical School, University of Thessalia, Papakiriazi 22 str, 41222 Larissa, Greece

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Cases Journal 2010, 3:82 doi:10.1186/1757-1626-3-82

Published: 22 March 2010

Abstract

We present the contrast-enhanced spiral CT findings in a case of acute celiac artery occlusion with gastric perforation and total splenic infarction. Spiral CT depicted thrombus in the celiac axis and its branches, stenosis of the superior mesenteric artery, splenic infarction and lack of enhancement of the gastric wall with a large necrotic gap. Spiral CT enabled prompt diagnosis and therapy in this rare condition in a patient with suspicion of acute mesenteric ischemia.