Acute multi-visceral thrombosis and ischemia in a 3-year-old child

Abstract

Acute multi-visceral ischemia secondary to multi-vessel thrombosis is rare in the pediatric population and to our knowledge it has not been previously reported. We present a 3-year old boy with acute thrombosis of the celiac trunk, superior mesenteric artery, and left renal artery in addition to stenoses of his intracranial carotid arteries. The patient presented with extensive small and large bowel ischemia and perforations, gastric perforation, gallbladder necrosis, acute kidney injury and stroke. Here we describe our medical, surgical and percutaneous interventions for the successful treatment of this child.

Keywords

• Visceral ischemia
• Mesenteric ischemia
• Pediatric
• Vasculitis
• Mid-aortic syndrome
• Vasculopathy