Celiac Artery Thrombosis Resulting in Infarction of the Liver and the Small Intestine
Authors: CARLTON A. MACDONALD
Journal: Annals of Internal Medicine (1966)

Case Studies1 May 1966Celiac Artery Thrombosis Resulting in Infarction of the Liver and the Small IntestineCARLTON A. MACDONALD, M.D., PETER R. HOLT, M.D.CARLTON A. MACDONALD, M.D., PETER R. HOLT, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-64-5-1057 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptSimultaneous infarction of the small intestine and liver due to arterial insufficiency is a rare occurrence. Two cases of thrombosis of the celiac artery which supplied both the superior mesenteric artery and a single hepatic artery are presented. In both instances fatal ischemic necrosis of the intestine and liver occurred, and the condition was not suspected before death.A recent exhaustive review of superior mesenteric artery occlusion (1) omits mention of concurrent thrombosis of the arteries supplying the intestine and liver. The cases described in this report illustrate certain features of this condition.CASE REPORTSCASE 1A 56-year-old white...References1. JACKSON BB: Occlusion of the Superior Mesenteric Artery. Charles C Thomas, Publisher, Springfield, Ill, 1963. Google Scholar2. PATTEN BM: Human Embryology, 2nd ed. The Blakiston Company, Inc., New York, 1953, p. 132. Google Scholar3. CAULDWELLANSON EWBJ: The visceral branches of the abdominal aorta: topographical relationships. Amer. J. Anat. 73: 27, 1943. CrossrefGoogle Scholar4. EATON PB: The coeliac axis. Anat. Rec. 13: 369, 1917. CrossrefGoogle Scholar5. MICHELS NA: The hepatic, cystic and retroduodenal arteries and their relations to the biliary ducts. Ann. Surg. 133: 503, 1951. CrossrefMedlineGoogle Scholar6. MARKOWITZRAPAPORT JAM: The hepatic artery. Physiol. Rev. 31: 188, 1951. CrossrefMedlineGoogle Scholar7. BLALOCKLEVY ASE: Gradual complete occlusion of the celiac axis, the superior and inferior mesenteric arteries with survival of animals: effects of ischemia on blood pressure. Surgery 5: 175, 1939. Google Scholar8. LOSNERVOLKJACOBI SBWM: Anemic infarct of the liver. Arch. Path. (Chicago) 49: 461, 1950. Google Scholar9. GRANTFITTSRAVDIN JLWTIS: Aneurysm of the hepatic artery. Surg. Gynec. Obstet. 91: 527, 1950. MedlineGoogle Scholar10. BERMANHULL JKJE: Hepatic, splenic, and left gastric arterial ligation in advanced portal cirrhosis. Arch. Surg. (Chicago) 65: 37, 1950. CrossrefGoogle Scholar11. ROSENBAUMEGBERT DHL: Liver necrosis and death following hepatic artery ligation. JAMA 149: 1210, 1952. CrossrefMedlineGoogle Scholar12. TAYLORROSENBAUM FWD: The case against hepatic artery ligation in portal hypertension. JAMA 151: 1066, 1953. CrossrefMedlineGoogle Scholar13. ENDE N: Infarction of the bowel in cardiac failure. New Eng. J. Med. 258: 879, 1958. CrossrefMedlineGoogle Scholar14. COHEN EB: Infarction of the stomach. Amer. J. Med. 11: 645, 1951. CrossrefMedlineGoogle Scholar15. BERGERBYRNE RLJJ: Intestinal gangrene associated with heart disease. Surg. Gynec. Obstet. 112: 529, 1961. Google Scholar16. GOODINGCOUCH RARD: Mesenteric ischemia without vascular occlusion. Arch. Surg. (Chicago) 85: 186, 1962. CrossrefMedlineGoogle Scholar17. ROBOWEN CGK: Ligation of both the coeliac axis and superior mesenteric artery with survival of the patient. Brit. J. Surg. 4: 247, 1956. CrossrefGoogle Scholar18. CHIENE J: Complete obliteration of the coeliac and mesenteric arteries: the viscera receiving their blood supply through the extraperitoneal system of vessels. J. Anat. 3: 65, 1869. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: CARLTON A. MACDONALD, M.D.; PETER R. HOLT, M.D.Affiliations: New York, New YorkFrom the Gastrointestinal Unit, Department of Medicine, St. Luke's Hospital Center, New York, N. Y.Requests for reprints should be addressed to Peter R. Holt, M.D., Gastrointestinal Unit, Department of Medicine, St. Luke's Hospital Center, New York, N. Y. 10025. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byTumor-Like Necroses of the Liver: Liver Infarct and Hepatic Pseudo-infarct (Zahn's Infarct)Tumor-like Necroses of the Liver: Liver Infarct and Hepatic Pseudo-infarct (Zahn's Infarct)Pathogenese und Klinik der Verschlußkrankheit von EingeweideschlagadernInfarction of the gallbladder after celiac arteriography 1 May 1966Volume 64, Issue 5Page: 1057-1062KeywordsArteriesHospital medicineInfarctionLiverMesenteric arteriesNecrosisSmall intestineThrombosis ePublished: 1 December 2008 Issue Published: 1 May 1966 PDF downloadLoading ...