COELIAC ARTERY TRUNK THROMBOSIS IN ACUTE PANCREATITIS CAUSING TOTAL GASTRIC NECROSIS

Pancreatitis associated with vascular complications is dangerous and potentially lethal. The most common complications are thrombosis of the portal venous system, haemorrhage into a pseudocyst, erosion of upper gastrointestinal arteries, formation of varices or formation and rupture of arterial pseudoaneurysms.1 Arterial thrombosis is not a common complication of acute pancreatitis, but reports of affected arteries include common hepatic, superior mesenteric,2 splenic,3 perigastric4 and inferior mesenteric arteries5,6 that are in close proximity to the pancreas. Arterial occlusions cause infarction of the organs supplied by them with consequent high mortality. Occlusion of the coeliac artery as a complication of acute pancreatitis, to our knowledge, has never been reported in the English-language literature. We report a case of severe acute pancreatitis complicated by complete thrombosis of the coeliac artery with consequent infarction of the stomach and liver.

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