Images in Intensive Medicine
Massive arterial and venous thromboses
Trombosis arterial y venosa masiva
I. López-García
, R. Martín-Bermúdez, M. Porras-López
Corresponding author
Servicio de Medicina Intensiva, Hospital Universitario Virgen del Rocío, Sevilla, Spain
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López-García, R. Martín-Bermúdez, M. Porras-López" "autores" => array:3 [ 0 => array:4 [ "nombre" => "I." "apellidos" => "López-García" "email" => array:1 [ 0 => "isabellopez_80@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Martín-Bermúdez" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Porras-López" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Medicina Intensiva, Hospital Universitario Virgen del Rocío, Sevilla, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Trombosis arterial y venosa masiva" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 445 "Ancho" => 333 "Tamanyo" => 41032 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 52-year-old patient with a history of ulcerative colitis consulted due to abdominal pain and rectal bleeding. The laboratory tests revealed liver cell necrosis and coagulation alterations, with acute phase reactant elevation and metabolic acidosis (lactate 10<span class="elsevierStyleHsp" style=""></span>mmol/l). The abdominal CAT scan revealed massive arterial and venous thromboses (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Celiac trunk thrombosis was observed at the trifurcation, together with thrombosis affecting the splanchnic, left gastric and common hepatic arteries and respective branches, accompanied by extensive portal, superior mesenteric and splanchnic venous thrombosis, with massive infarction in the liver and spleen (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The clinical course proved negative and the patient died three days after admission. The cause of the arterial and venous thromboses could not be established.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Financial support</span><p id="par0010" class="elsevierStylePara elsevierViewall">This study has received no financial support.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Financial support" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicts of interest" ] 2 => array:2 [ "identificador" => "xack340920" "titulo" => "Acknowledgements" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2016-02-11" "fechaAceptado" => "2016-02-16" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: López-García I, Martín-Bermúdez R, Porras-López M. Trombosis arterial y venosa masiva. Med Intensiva. 2018;42:e1.</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 445 "Ancho" => 333 "Tamanyo" => 44155 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 445 "Ancho" => 333 "Tamanyo" => 41032 ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack340920" "titulo" => "Acknowledgements" "texto" => "<p id="par0020" class="elsevierStylePara elsevierViewall">Thanks are due to the Department of Intensive Care Medicine of Hospital Virgen del Rocío.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004200000003/v1_201803310417/S2173572718300249/v1_201803310417/en/main.assets" "Apartado" => array:4 [ "identificador" => "64602" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Intensive Medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004200000003/v1_201803310417/S2173572718300249/v1_201803310417/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572718300249?idApp=WMIE" ]
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