医学
肠系膜上动脉
腹腔动脉
栓塞
腹痛
外科
肠系膜缺血
经皮
狭窄
支架
放射科
急腹症
肠系膜下动脉
心脏病学
后备箱
内科学
动脉
缺血
生态学
生物
作者
Krzysztof Szaniewski,Dariusz Zejc
出处
期刊:PubMed
日期:2021-01-01
卷期号:74 (12): 3234-3237
被引量:1
摘要
Among patients presenting with acute abdominal symptoms, patients with acute mesenteric ischemia (AMI) constitute 0.09% - 0.2% of cases. Unfortunately, due to the short period between the first symptoms and irreversible ischemic changes in the intestine, the mortality rate in this group is high - up to 60% - 100%. We present a case of a 75-yearold female with severe comorbidities (ischemic heart disease, atrial fibrillation, poorly controlled arterial hypertension, and a history of colorectal carcinoma previously treated with radio- and chemotherapy). The patient was admitted due to severe abdominal pain. Computed tomography (CT) confirmed superior mesenteric artery (SMA) and celiac trunk embolism. Due to the relatively short time of symptoms onset as well as the soft abdomen, the patient was qualified for percutaneous treatment. Successful percutaneous transluminal angioplasty was performed with stent implantation to SMA and celiac trunk (Neptun C, Balton, Poland). As a result, the patency of both arteries was fully restored. The patient's condition improved within 24 hours, and she was discharged home.
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