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Case Reports in Medicine
Volume 2012 (2012), Article ID 741653, 3 pages
http://dx.doi.org/10.1155/2012/741653
Case Report

Celiac Artery Thrombosis and Superior Mesenteric Artery Stenoses with Essential Thrombocythemia: A Case Report

1Department of Cardiovascular Surgery, Etlik Education and Research Hospital, 06020 Ankara, Turkey
2Department of General Surgery, Etlik Education and Research Hospital, 06020 Ankara, Turkey

Received 16 July 2012; Revised 7 November 2012; Accepted 20 November 2012

Academic Editor: Jagdish Butany

Copyright © 2012 Hasan Attila Keskin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Thrombosis of the celiac artery trunk is a rare cause of acute abdominal pain. Thrombosis of the celiac artery carries a high mortality and morbidity when the diagnoses and treatment are delayed. It is frequently associated with other cardiovascular events. The most common etiology is atherosclerosis. 20–30% of cases may have symptoms of chronic mesenteric ischemia. Main goal of the treatment is to reestablish the diminished or stopped mesenteric blood flow and to avoid end-organ ischemia. Essential thrombocythemia is a chronic myeloproliferative disorder characterized by marked increase in thrombocyte number and clinical presentation may be with thrombotic episodes, hemorrhage, or both. To our knowledge this is the first report of celiac artery thrombosis and superior mesenteric artery stenoses in a patient with essential thrombocythemia. The patient was managed successfully with surgical treatment.