Isolated Common Hepatic Artery Branch Thrombosis: Results and Risk Factors

  • Abdoulhossein Davoodabadi Department of Surgery, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran.
  • Hamid Reza Talari Department of Radiology, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran.
  • Maseeh Jahanbakhsh Department of Surgery, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran.
Keywords: Isolated common, hepatic artery, branch thrombosis, Hyperhomocysteinemia, Gastric ischemic, necrosis duode, nojejunal sloughing

Abstract

Isolated common hepatic artery branch thrombosis with severe gastric ischemia and duodenojejunal infarction is a rare condition; it usually presents with acute abdomen and may be associated with underlying thrombotic risk factors. We present a 35-year-old man admitted to our hospital with five days history of sudden abdominal pain and deteriorating epigastric pain. He was a driver and had no any past medical history. Explorative laparotomy showed: distal 2/3 gastric, duodenojejunal and papilla vater was sloughed. The stomach subtotal and sloughed duodenum and first 20 cm of jejunum were resected, continuity of the gastrointestinal was preserved with anastomosis of the proximal part of jejunum to gastric stump, pancreatic duct, and CBD repaired to the lateral side of jejunum on the guide of two 18 French feeding tube as an external drain. The patient had a good immediate postoperative recovery. Coagulation checkup after operation revealed isolated Hyperhomocysteinemia.

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Published
2016-10-31
How to Cite
1.
Davoodabadi A, Talari HR, Jahanbakhsh M. Isolated Common Hepatic Artery Branch Thrombosis: Results and Risk Factors. Acta Med Iran. 54(9):610-613.
Section
Case Report(s)