Gastric ischemia due to critical stenosis of the celiac trunk

Abstract

Gastric ischemia (GI) results from diffuse or localized vascular insufficiency caused by different aetiologies such as systemic hypotension, vasculitis, disseminated thromboembolism and celiac or mesenteric stenosis. We present a case of gastric ischemia due to critical stenosis of the celiac artery treated using endovascular therapy. The celiac artery is the first major branch of the abdominal aorta and provides some of the blood supply to the stomach through the left gastric artery and other organs like the spleen (splenic artery branch) and the liver. Although the collateral blood supply to the stomach is protective, systemic hypotension or occlusion of the main arteries, as in the case of our patient, may result in gastric ischemia. The stent placement is an alternative to surgery in patients with high comorbidity and with good outcomes. The clinical awareness of this syndrome will allow gastroenterologists and radiologists to appropriately diagnose and manage affected patients.