Delayed stomach necrosis in a patient with injured celiac artery branches after penetrating abdominal trauma
Injuries of the celiac artery and its branches are rare, but potentially lethal. Ligation of these arteries is performed to control significant hemorrhage. However, few reports have described the adverse effects of ligating these arteries.A 69-year-old woman with a self-inflicted stab wound was brou...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-10-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644023001528 |
| _version_ | 1797686787679715328 |
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| author | Yoshito Ishiki Toru Takiguchi Shiei Kim Masatoku Arai Hiromoto Ishii Jun Hagiwara Osahiko Hagiwara Tomoko Ogasawara Shintaro Teraoka Futoshi Ogawa Shoji Yokobori |
| author_facet | Yoshito Ishiki Toru Takiguchi Shiei Kim Masatoku Arai Hiromoto Ishii Jun Hagiwara Osahiko Hagiwara Tomoko Ogasawara Shintaro Teraoka Futoshi Ogawa Shoji Yokobori |
| author_sort | Yoshito Ishiki |
| collection | DOAJ |
| description | Injuries of the celiac artery and its branches are rare, but potentially lethal. Ligation of these arteries is performed to control significant hemorrhage. However, few reports have described the adverse effects of ligating these arteries.A 69-year-old woman with a self-inflicted stab wound was brought to our hospital. Her blood pressure could not be measured, therefore aortic cross-clamping was performed, and epinephrine was administered for resuscitation, an emergency laparotomy was performed, and the roots of splenic artery and common hepatic artery were ligated. The left gastric artery which was anomalous and arose directly from the aorta, was also injured and had to be ligated. Norepinephrine was required after the surgery. Enhanced computed tomography performed on hospital day 4 revealed a disrupted celiac artery. The patient developed gastric necrosis on hospital day 23 and, hence, underwent total gastrectomy was performed.The possibility of delayed stomach necrosis should be considered during the postoperative management of patients who undergo ligation of all of the celiac artery branches and experience global hypoperfusion after the surgery. |
| first_indexed | 2024-03-12T01:09:51Z |
| format | Article |
| id | doaj.art-72e47b46835c484e8ef6c21da5bd7ca5 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-03-12T01:09:51Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-72e47b46835c484e8ef6c21da5bd7ca52023-09-14T04:54:09ZengElsevierTrauma Case Reports2352-64402023-10-0147100904Delayed stomach necrosis in a patient with injured celiac artery branches after penetrating abdominal traumaYoshito Ishiki0Toru Takiguchi1Shiei Kim2Masatoku Arai3Hiromoto Ishii4Jun Hagiwara5Osahiko Hagiwara6Tomoko Ogasawara7Shintaro Teraoka8Futoshi Ogawa9Shoji Yokobori10Department of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan; Department of Emergency and Critical Care Medicine, Kawaguchi Municipal Hospital, Saitama, JapanDepartment of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan; Department of Emergency and Critical Care Medicine, Kawaguchi Municipal Hospital, Saitama, Japan; Corresponding author at: Department of Emergency and Critical Care Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, Japan.Department of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, JapanDepartment of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, JapanDepartment of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, JapanDepartment of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, JapanDepartment of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan; Department of Surgery, Toho University Ohashi Medical Center, Tokyo, JapanDepartment of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, JapanDepartment of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, JapanDepartment of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan; Department of Emergency and Critical Care Medicine, Kawaguchi Municipal Hospital, Saitama, JapanDepartment of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, JapanInjuries of the celiac artery and its branches are rare, but potentially lethal. Ligation of these arteries is performed to control significant hemorrhage. However, few reports have described the adverse effects of ligating these arteries.A 69-year-old woman with a self-inflicted stab wound was brought to our hospital. Her blood pressure could not be measured, therefore aortic cross-clamping was performed, and epinephrine was administered for resuscitation, an emergency laparotomy was performed, and the roots of splenic artery and common hepatic artery were ligated. The left gastric artery which was anomalous and arose directly from the aorta, was also injured and had to be ligated. Norepinephrine was required after the surgery. Enhanced computed tomography performed on hospital day 4 revealed a disrupted celiac artery. The patient developed gastric necrosis on hospital day 23 and, hence, underwent total gastrectomy was performed.The possibility of delayed stomach necrosis should be considered during the postoperative management of patients who undergo ligation of all of the celiac artery branches and experience global hypoperfusion after the surgery.http://www.sciencedirect.com/science/article/pii/S2352644023001528Celiac artery injuryPenetrating traumaDelayed stomach necrosisSelf-inflicted stab woundLigation of the celiac arteryGlobal hypoperfusion |
| spellingShingle | Yoshito Ishiki Toru Takiguchi Shiei Kim Masatoku Arai Hiromoto Ishii Jun Hagiwara Osahiko Hagiwara Tomoko Ogasawara Shintaro Teraoka Futoshi Ogawa Shoji Yokobori Delayed stomach necrosis in a patient with injured celiac artery branches after penetrating abdominal trauma Trauma Case Reports Celiac artery injury Penetrating trauma Delayed stomach necrosis Self-inflicted stab wound Ligation of the celiac artery Global hypoperfusion |
| title | Delayed stomach necrosis in a patient with injured celiac artery branches after penetrating abdominal trauma |
| title_full | Delayed stomach necrosis in a patient with injured celiac artery branches after penetrating abdominal trauma |
| title_fullStr | Delayed stomach necrosis in a patient with injured celiac artery branches after penetrating abdominal trauma |
| title_full_unstemmed | Delayed stomach necrosis in a patient with injured celiac artery branches after penetrating abdominal trauma |
| title_short | Delayed stomach necrosis in a patient with injured celiac artery branches after penetrating abdominal trauma |
| title_sort | delayed stomach necrosis in a patient with injured celiac artery branches after penetrating abdominal trauma |
| topic | Celiac artery injury Penetrating trauma Delayed stomach necrosis Self-inflicted stab wound Ligation of the celiac artery Global hypoperfusion |
| url | http://www.sciencedirect.com/science/article/pii/S2352644023001528 |
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