Critical ostial celiac trunk stenosis presenting as abdominal angina during massive pulmonary embolism with cardiogenic shock

J Invasive Cardiol. 2009 Mar;21(3):139-40.

Abstract

Massive pulmonary embolism complicated by cardiogenic shock and severe abdominal pain represents both a diagnostic and therapeutic challenge. We present the case of a critically ill patient in whom acute abdominal ischemia, which was caused by splanchnic hypoperfusion secondary to critical ostial celiac trunk stenosis, manifested during the course of massive pulmonary embolism complicated by a cardiogenic shock.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / diagnosis*
  • Abdominal Pain / etiology*
  • Angiography
  • Celiac Artery / pathology*
  • Constriction, Pathologic / complications
  • Constriction, Pathologic / diagnosis
  • Fibrinolytic Agents / therapeutic use
  • Humans
  • Ischemia / drug therapy
  • Male
  • Middle Aged
  • Peripheral Vascular Diseases / complications*
  • Peripheral Vascular Diseases / diagnosis*
  • Peripheral Vascular Diseases / drug therapy
  • Pulmonary Embolism / complications*
  • Pulmonary Embolism / diagnosis
  • Shock, Cardiogenic / complications*
  • Shock, Cardiogenic / diagnosis
  • Tissue Plasminogen Activator / therapeutic use
  • Treatment Outcome

Substances

  • Fibrinolytic Agents
  • Tissue Plasminogen Activator