AbdominalAnginaandIntestinalGangrene-CatastrophicPresentationofThrombosisofCommonHepato-SplenoMesentericTrunk(HSMT):ARareCaseReport

Middle age patient was presented in emergency department with complains of acute abdominal pain, vomiting and diarrhea. On clinical examination there was board like rigidity and tender abdomen. Initial labs were unremarkable. Filling defect was seen in an anomalous channel, hepato-spleno-mesenteric...
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Autor*in:	Marya Hameed [verfasserIn] Ameet Jesrani [verfasserIn] Aneeta Muhammad [verfasserIn] Nida Amin Khan [verfasserIn] Naveed Ahmed [verfasserIn] Tariq Mahmood [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2019

Schlagwörter:	thrombosis hepato-spleno-mesenteric trunk abdominal angina

Übergeordnetes Werk:	In: Journal of the Dow University of Health Sciences - Dow University of Health Sciences, 2020, 13(2019), 3, Seite 171-173
Übergeordnetes Werk:	volume:13 ; year:2019 ; number:3 ; pages:171-173

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.36570/jduhs.2019.3.576

Katalog-ID:	DOAJ066386918

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520			\|a Middle age patient was presented in emergency department with complains of acute abdominal pain, vomiting and diarrhea. On clinical examination there was board like rigidity and tender abdomen. Initial labs were unremarkable. Filling defect was seen in an anomalous channel, hepato-spleno-mesenteric trunk that was seen as a supply of liver, spleen, small bowel and part of large bowel on contrast enhanced computed tomography. The left gastric artery was seen arising separately from aorta. Emergency exploratory laprotomy was done. Patchy discoloration and cyanosis with friability was seen in liver and spleen representing ischemia. Gangrene of small bowel and proximal large bowel (till the splenic lexure) was seen. The patient expired few days after presentation. No other surgical intervention was done. This was an unusual case of abdominal angina due to thrombosis of a rare arterial variation of gastrointestinal vascularity. The hepato-spleno-mesenteric trunk was seen thrombosed which happens to be the only artery supplying the midgut and its embryological visceral derivatives in the subjects it occur in. However, in cases like these there is a possibility of collateral supply from esophageal, phrenic and inferior mesenteric arteries.
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allfields	10.36570/jduhs.2019.3.576 doi (DE-627)DOAJ066386918 (DE-599)DOAJb1d584c2d9e04112a14f570e40c4a4da DE-627 ger DE-627 rakwb eng Marya Hameed verfasserin aut AbdominalAnginaandIntestinalGangrene-CatastrophicPresentationofThrombosisofCommonHepato-SplenoMesentericTrunk(HSMT):ARareCaseReport 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Middle age patient was presented in emergency department with complains of acute abdominal pain, vomiting and diarrhea. On clinical examination there was board like rigidity and tender abdomen. Initial labs were unremarkable. Filling defect was seen in an anomalous channel, hepato-spleno-mesenteric trunk that was seen as a supply of liver, spleen, small bowel and part of large bowel on contrast enhanced computed tomography. The left gastric artery was seen arising separately from aorta. Emergency exploratory laprotomy was done. Patchy discoloration and cyanosis with friability was seen in liver and spleen representing ischemia. Gangrene of small bowel and proximal large bowel (till the splenic lexure) was seen. The patient expired few days after presentation. No other surgical intervention was done. This was an unusual case of abdominal angina due to thrombosis of a rare arterial variation of gastrointestinal vascularity. The hepato-spleno-mesenteric trunk was seen thrombosed which happens to be the only artery supplying the midgut and its embryological visceral derivatives in the subjects it occur in. However, in cases like these there is a possibility of collateral supply from esophageal, phrenic and inferior mesenteric arteries. thrombosis hepato-spleno-mesenteric trunk abdominal angina Medicine R Ameet Jesrani verfasserin aut Aneeta Muhammad verfasserin aut Nida Amin Khan verfasserin aut Naveed Ahmed verfasserin aut Tariq Mahmood verfasserin aut In Journal of the Dow University of Health Sciences Dow University of Health Sciences, 2020 13(2019), 3, Seite 171-173 (DE-627)1734609230 24102180 nnns volume:13 year:2019 number:3 pages:171-173 https://doi.org/10.36570/jduhs.2019.3.576 kostenfrei https://doaj.org/article/b1d584c2d9e04112a14f570e40c4a4da kostenfrei http://www.jduhs.com/index.php/jduhs/article/view/733 kostenfrei https://doaj.org/toc/1995-2198 Journal toc kostenfrei https://doaj.org/toc/2410-2180 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2019 3 171-173
spelling	10.36570/jduhs.2019.3.576 doi (DE-627)DOAJ066386918 (DE-599)DOAJb1d584c2d9e04112a14f570e40c4a4da DE-627 ger DE-627 rakwb eng Marya Hameed verfasserin aut AbdominalAnginaandIntestinalGangrene-CatastrophicPresentationofThrombosisofCommonHepato-SplenoMesentericTrunk(HSMT):ARareCaseReport 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Middle age patient was presented in emergency department with complains of acute abdominal pain, vomiting and diarrhea. On clinical examination there was board like rigidity and tender abdomen. Initial labs were unremarkable. Filling defect was seen in an anomalous channel, hepato-spleno-mesenteric trunk that was seen as a supply of liver, spleen, small bowel and part of large bowel on contrast enhanced computed tomography. The left gastric artery was seen arising separately from aorta. Emergency exploratory laprotomy was done. Patchy discoloration and cyanosis with friability was seen in liver and spleen representing ischemia. Gangrene of small bowel and proximal large bowel (till the splenic lexure) was seen. The patient expired few days after presentation. No other surgical intervention was done. This was an unusual case of abdominal angina due to thrombosis of a rare arterial variation of gastrointestinal vascularity. The hepato-spleno-mesenteric trunk was seen thrombosed which happens to be the only artery supplying the midgut and its embryological visceral derivatives in the subjects it occur in. However, in cases like these there is a possibility of collateral supply from esophageal, phrenic and inferior mesenteric arteries. thrombosis hepato-spleno-mesenteric trunk abdominal angina Medicine R Ameet Jesrani verfasserin aut Aneeta Muhammad verfasserin aut Nida Amin Khan verfasserin aut Naveed Ahmed verfasserin aut Tariq Mahmood verfasserin aut In Journal of the Dow University of Health Sciences Dow University of Health Sciences, 2020 13(2019), 3, Seite 171-173 (DE-627)1734609230 24102180 nnns volume:13 year:2019 number:3 pages:171-173 https://doi.org/10.36570/jduhs.2019.3.576 kostenfrei https://doaj.org/article/b1d584c2d9e04112a14f570e40c4a4da kostenfrei http://www.jduhs.com/index.php/jduhs/article/view/733 kostenfrei https://doaj.org/toc/1995-2198 Journal toc kostenfrei https://doaj.org/toc/2410-2180 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2019 3 171-173
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allfieldsGer	10.36570/jduhs.2019.3.576 doi (DE-627)DOAJ066386918 (DE-599)DOAJb1d584c2d9e04112a14f570e40c4a4da DE-627 ger DE-627 rakwb eng Marya Hameed verfasserin aut AbdominalAnginaandIntestinalGangrene-CatastrophicPresentationofThrombosisofCommonHepato-SplenoMesentericTrunk(HSMT):ARareCaseReport 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Middle age patient was presented in emergency department with complains of acute abdominal pain, vomiting and diarrhea. On clinical examination there was board like rigidity and tender abdomen. Initial labs were unremarkable. Filling defect was seen in an anomalous channel, hepato-spleno-mesenteric trunk that was seen as a supply of liver, spleen, small bowel and part of large bowel on contrast enhanced computed tomography. The left gastric artery was seen arising separately from aorta. Emergency exploratory laprotomy was done. Patchy discoloration and cyanosis with friability was seen in liver and spleen representing ischemia. Gangrene of small bowel and proximal large bowel (till the splenic lexure) was seen. The patient expired few days after presentation. No other surgical intervention was done. This was an unusual case of abdominal angina due to thrombosis of a rare arterial variation of gastrointestinal vascularity. The hepato-spleno-mesenteric trunk was seen thrombosed which happens to be the only artery supplying the midgut and its embryological visceral derivatives in the subjects it occur in. However, in cases like these there is a possibility of collateral supply from esophageal, phrenic and inferior mesenteric arteries. thrombosis hepato-spleno-mesenteric trunk abdominal angina Medicine R Ameet Jesrani verfasserin aut Aneeta Muhammad verfasserin aut Nida Amin Khan verfasserin aut Naveed Ahmed verfasserin aut Tariq Mahmood verfasserin aut In Journal of the Dow University of Health Sciences Dow University of Health Sciences, 2020 13(2019), 3, Seite 171-173 (DE-627)1734609230 24102180 nnns volume:13 year:2019 number:3 pages:171-173 https://doi.org/10.36570/jduhs.2019.3.576 kostenfrei https://doaj.org/article/b1d584c2d9e04112a14f570e40c4a4da kostenfrei http://www.jduhs.com/index.php/jduhs/article/view/733 kostenfrei https://doaj.org/toc/1995-2198 Journal toc kostenfrei https://doaj.org/toc/2410-2180 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2019 3 171-173
allfieldsSound	10.36570/jduhs.2019.3.576 doi (DE-627)DOAJ066386918 (DE-599)DOAJb1d584c2d9e04112a14f570e40c4a4da DE-627 ger DE-627 rakwb eng Marya Hameed verfasserin aut AbdominalAnginaandIntestinalGangrene-CatastrophicPresentationofThrombosisofCommonHepato-SplenoMesentericTrunk(HSMT):ARareCaseReport 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Middle age patient was presented in emergency department with complains of acute abdominal pain, vomiting and diarrhea. On clinical examination there was board like rigidity and tender abdomen. Initial labs were unremarkable. Filling defect was seen in an anomalous channel, hepato-spleno-mesenteric trunk that was seen as a supply of liver, spleen, small bowel and part of large bowel on contrast enhanced computed tomography. The left gastric artery was seen arising separately from aorta. Emergency exploratory laprotomy was done. Patchy discoloration and cyanosis with friability was seen in liver and spleen representing ischemia. Gangrene of small bowel and proximal large bowel (till the splenic lexure) was seen. The patient expired few days after presentation. No other surgical intervention was done. This was an unusual case of abdominal angina due to thrombosis of a rare arterial variation of gastrointestinal vascularity. The hepato-spleno-mesenteric trunk was seen thrombosed which happens to be the only artery supplying the midgut and its embryological visceral derivatives in the subjects it occur in. However, in cases like these there is a possibility of collateral supply from esophageal, phrenic and inferior mesenteric arteries. thrombosis hepato-spleno-mesenteric trunk abdominal angina Medicine R Ameet Jesrani verfasserin aut Aneeta Muhammad verfasserin aut Nida Amin Khan verfasserin aut Naveed Ahmed verfasserin aut Tariq Mahmood verfasserin aut In Journal of the Dow University of Health Sciences Dow University of Health Sciences, 2020 13(2019), 3, Seite 171-173 (DE-627)1734609230 24102180 nnns volume:13 year:2019 number:3 pages:171-173 https://doi.org/10.36570/jduhs.2019.3.576 kostenfrei https://doaj.org/article/b1d584c2d9e04112a14f570e40c4a4da kostenfrei http://www.jduhs.com/index.php/jduhs/article/view/733 kostenfrei https://doaj.org/toc/1995-2198 Journal toc kostenfrei https://doaj.org/toc/2410-2180 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2019 3 171-173
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author	Marya Hameed
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title	AbdominalAnginaandIntestinalGangrene-CatastrophicPresentationofThrombosisofCommonHepato-SplenoMesentericTrunk(HSMT):ARareCaseReport
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title_full	AbdominalAnginaandIntestinalGangrene-CatastrophicPresentationofThrombosisofCommonHepato-SplenoMesentericTrunk(HSMT):ARareCaseReport
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author_browse	Marya Hameed Ameet Jesrani Aneeta Muhammad Nida Amin Khan Naveed Ahmed Tariq Mahmood
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title_sort	abdominalanginaandintestinalgangrene-catastrophicpresentationofthrombosisofcommonhepato-splenomesenterictrunk(hsmt):ararecasereport
title_auth	AbdominalAnginaandIntestinalGangrene-CatastrophicPresentationofThrombosisofCommonHepato-SplenoMesentericTrunk(HSMT):ARareCaseReport
abstract	Middle age patient was presented in emergency department with complains of acute abdominal pain, vomiting and diarrhea. On clinical examination there was board like rigidity and tender abdomen. Initial labs were unremarkable. Filling defect was seen in an anomalous channel, hepato-spleno-mesenteric trunk that was seen as a supply of liver, spleen, small bowel and part of large bowel on contrast enhanced computed tomography. The left gastric artery was seen arising separately from aorta. Emergency exploratory laprotomy was done. Patchy discoloration and cyanosis with friability was seen in liver and spleen representing ischemia. Gangrene of small bowel and proximal large bowel (till the splenic lexure) was seen. The patient expired few days after presentation. No other surgical intervention was done. This was an unusual case of abdominal angina due to thrombosis of a rare arterial variation of gastrointestinal vascularity. The hepato-spleno-mesenteric trunk was seen thrombosed which happens to be the only artery supplying the midgut and its embryological visceral derivatives in the subjects it occur in. However, in cases like these there is a possibility of collateral supply from esophageal, phrenic and inferior mesenteric arteries.
abstractGer	Middle age patient was presented in emergency department with complains of acute abdominal pain, vomiting and diarrhea. On clinical examination there was board like rigidity and tender abdomen. Initial labs were unremarkable. Filling defect was seen in an anomalous channel, hepato-spleno-mesenteric trunk that was seen as a supply of liver, spleen, small bowel and part of large bowel on contrast enhanced computed tomography. The left gastric artery was seen arising separately from aorta. Emergency exploratory laprotomy was done. Patchy discoloration and cyanosis with friability was seen in liver and spleen representing ischemia. Gangrene of small bowel and proximal large bowel (till the splenic lexure) was seen. The patient expired few days after presentation. No other surgical intervention was done. This was an unusual case of abdominal angina due to thrombosis of a rare arterial variation of gastrointestinal vascularity. The hepato-spleno-mesenteric trunk was seen thrombosed which happens to be the only artery supplying the midgut and its embryological visceral derivatives in the subjects it occur in. However, in cases like these there is a possibility of collateral supply from esophageal, phrenic and inferior mesenteric arteries.
abstract_unstemmed	Middle age patient was presented in emergency department with complains of acute abdominal pain, vomiting and diarrhea. On clinical examination there was board like rigidity and tender abdomen. Initial labs were unremarkable. Filling defect was seen in an anomalous channel, hepato-spleno-mesenteric trunk that was seen as a supply of liver, spleen, small bowel and part of large bowel on contrast enhanced computed tomography. The left gastric artery was seen arising separately from aorta. Emergency exploratory laprotomy was done. Patchy discoloration and cyanosis with friability was seen in liver and spleen representing ischemia. Gangrene of small bowel and proximal large bowel (till the splenic lexure) was seen. The patient expired few days after presentation. No other surgical intervention was done. This was an unusual case of abdominal angina due to thrombosis of a rare arterial variation of gastrointestinal vascularity. The hepato-spleno-mesenteric trunk was seen thrombosed which happens to be the only artery supplying the midgut and its embryological visceral derivatives in the subjects it occur in. However, in cases like these there is a possibility of collateral supply from esophageal, phrenic and inferior mesenteric arteries.
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title_short	AbdominalAnginaandIntestinalGangrene-CatastrophicPresentationofThrombosisofCommonHepato-SplenoMesentericTrunk(HSMT):ARareCaseReport
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author2	Ameet Jesrani Aneeta Muhammad Nida Amin Khan Naveed Ahmed Tariq Mahmood
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