Normal Splanchnic Blood Flow in a Patient with Severe Stenosis of the Celiac Artery and Superior Mesenteric Artery

Henriette T Nielsen; Christian Høyer; Bjarke K Søndergaard; Jan Abrahamsen

doi:10.1159/000528879

Normal Splanchnic Blood Flow in a Patient with Severe Stenosis of the Celiac Artery and Superior Mesenteric Artery

Henriette T Nielsen^*, Christian Høyer, Bjarke K Søndergaard, Jan Abrahamsen

^*Corresponding author for this work

Department of Clinical Medicine - Fysiologi, Viborg

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

Abstract

The diagnosis of chronic mesenteric ischaemia is typically based on angiographic findings along with a classic symptomatology. Only a few methods are available for functional testing to establish the diagnosis, such as indirect measurement of the splanchnic blood flow and hepatic vein oxygenation. The present case is a 76-year-old woman with weight loss and intermittent abdominal pain who was clinically suspected of chronic mesenteric ischaemia based on severe stenosis of the celiac artery and superior mesenteric artery. Measurement of the total splanchnic blood flow and hepatic vein oxygenation, however, showed a normal perfusion after meal stimulation, as well as an increased hepatic vein oxygenation, indicating normal flow reserves. This was likely due to a richly developed Riolan's anastomosis arising from the inferior mesenteric artery. The present case advocates the need for functional testing when diagnosing chronic mesenteric ischaemia.

Original language	English
Journal	Case Reports in Gastroenterology
Volume	17
Issue	1
Pages (from-to)	70-75
Number of pages	6
ISSN	1662-0631
DOIs	https://doi.org/10.1159/000528879
Publication status	Published - 3 Feb 2023

Keywords

Abdominal pain
Case report
Chronic mesenteric ischaemia
Riolan's anastomosis
Splanchnic blood flow

Access to Document

10.1159/000528879Licence: CC BY-NC

Cite this

@article{f3cb390e03dc4f6d8b786b08aa76ce1f,

title = "Normal Splanchnic Blood Flow in a Patient with Severe Stenosis of the Celiac Artery and Superior Mesenteric Artery",

abstract = "The diagnosis of chronic mesenteric ischaemia is typically based on angiographic findings along with a classic symptomatology. Only a few methods are available for functional testing to establish the diagnosis, such as indirect measurement of the splanchnic blood flow and hepatic vein oxygenation. The present case is a 76-year-old woman with weight loss and intermittent abdominal pain who was clinically suspected of chronic mesenteric ischaemia based on severe stenosis of the celiac artery and superior mesenteric artery. Measurement of the total splanchnic blood flow and hepatic vein oxygenation, however, showed a normal perfusion after meal stimulation, as well as an increased hepatic vein oxygenation, indicating normal flow reserves. This was likely due to a richly developed Riolan's anastomosis arising from the inferior mesenteric artery. The present case advocates the need for functional testing when diagnosing chronic mesenteric ischaemia.",

keywords = "Abdominal pain, Case report, Chronic mesenteric ischaemia, Riolan's anastomosis, Splanchnic blood flow",

author = "Nielsen, {Henriette T} and Christian H{\o}yer and S{\o}ndergaard, {Bjarke K} and Jan Abrahamsen",

year = "2023",

month = feb,

day = "3",

doi = "10.1159/000528879",

language = "English",

volume = "17",

pages = "70--75",

journal = "Case Reports in Gastroenterology",

issn = "1662-0631",

publisher = "S. Karger AG",

number = "1",

}

Normal Splanchnic Blood Flow in a Patient with Severe Stenosis of the Celiac Artery and Superior Mesenteric Artery. / Nielsen, Henriette T; Høyer, Christian; Søndergaard, Bjarke K et al.
In: Case Reports in Gastroenterology, Vol. 17, No. 1, 03.02.2023, p. 70-75.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - Normal Splanchnic Blood Flow in a Patient with Severe Stenosis of the Celiac Artery and Superior Mesenteric Artery

AU - Nielsen, Henriette T

AU - Høyer, Christian

AU - Søndergaard, Bjarke K

AU - Abrahamsen, Jan

PY - 2023/2/3

Y1 - 2023/2/3

N2 - The diagnosis of chronic mesenteric ischaemia is typically based on angiographic findings along with a classic symptomatology. Only a few methods are available for functional testing to establish the diagnosis, such as indirect measurement of the splanchnic blood flow and hepatic vein oxygenation. The present case is a 76-year-old woman with weight loss and intermittent abdominal pain who was clinically suspected of chronic mesenteric ischaemia based on severe stenosis of the celiac artery and superior mesenteric artery. Measurement of the total splanchnic blood flow and hepatic vein oxygenation, however, showed a normal perfusion after meal stimulation, as well as an increased hepatic vein oxygenation, indicating normal flow reserves. This was likely due to a richly developed Riolan's anastomosis arising from the inferior mesenteric artery. The present case advocates the need for functional testing when diagnosing chronic mesenteric ischaemia.

AB - The diagnosis of chronic mesenteric ischaemia is typically based on angiographic findings along with a classic symptomatology. Only a few methods are available for functional testing to establish the diagnosis, such as indirect measurement of the splanchnic blood flow and hepatic vein oxygenation. The present case is a 76-year-old woman with weight loss and intermittent abdominal pain who was clinically suspected of chronic mesenteric ischaemia based on severe stenosis of the celiac artery and superior mesenteric artery. Measurement of the total splanchnic blood flow and hepatic vein oxygenation, however, showed a normal perfusion after meal stimulation, as well as an increased hepatic vein oxygenation, indicating normal flow reserves. This was likely due to a richly developed Riolan's anastomosis arising from the inferior mesenteric artery. The present case advocates the need for functional testing when diagnosing chronic mesenteric ischaemia.

KW - Abdominal pain

KW - Case report

KW - Chronic mesenteric ischaemia

KW - Riolan's anastomosis

KW - Splanchnic blood flow

UR - http://www.scopus.com/inward/record.url?scp=85149143931&partnerID=8YFLogxK

U2 - 10.1159/000528879

DO - 10.1159/000528879

M3 - Journal article

C2 - 36748070

SN - 1662-0631

VL - 17

SP - 70

EP - 75

JO - Case Reports in Gastroenterology

JF - Case Reports in Gastroenterology

IS - 1

ER -

Normal Splanchnic Blood Flow in a Patient with Severe Stenosis of the Celiac Artery and Superior Mesenteric Artery

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this