A case of celiac artery and inferior mesenteric artery thrombosis in a patient with protein C & S deficiency

A case of celiac artery and inferior mesenteric artery thrombosis

Abstract

Thrombosis of the celiac artery along with inferior mesenteric artery causing mesenteric ischemia is an emergency surgical condition with high mortality and morbidity when there is delay in diagnosis and treatment. Protein C deficiency is associated with an increased incidence of venous thromboembolism, whereas no association with arterial thrombotic disease has been found. Here we report a case of a young patient with celiac artery and inferior mesenteric artery thrombosis presented as colonic gangrene with peritonitis secondary to protein C & S deficiency, hyperhomocysteinemia and thrombocytosis which was managed with anticoagulant therapy and minimal invasive surgery.