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Báo cáo y học: " Small intestinal strictures as a complication of mesenteric vessel thrombosis: two case reports"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Small intestinal strictures as a complication of mesenteric vessel thrombosis: two case reports | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Small intestinal strictures as a complication of mesenteric vessel thrombosis two case reports Sandeep Patel and Shashank V Gurjar Address Medway Maritime Hospital Gillingham Kent UK Email SP - sandeepp99@doctors.net.uk SVG - svgurjar@gmail.com Corresponding author Received 25 February 2008 Accepted 24 March 2009 Published 1 September 2009 Journal ofMedical Case Reports 2009 3 8623 doi 10.4076 1752-1947-3-8623 This article is available from http jmedicalcasereports.com jmedicalcasereports article view 8623 2009 Patel and Gurjar licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.Org licenses by 3.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Small intestinal strictures secondary to mesenteric vessel thrombosis are a rare entity and thus often result in delayed diagnosis. We present two cases of ischaemic small bowel strictures secondary to mesenteric vessel thrombosis and describe how they were subsequently managed. Case presentation We present two cases of abdominal pain one acute and one chronic in which the eventual diagnosis was of bowel strictures secondary to arterial and venous vessel thrombosis. In both patients a Caucasian male aged 67 and a Caucasian female aged 78 the diagnosis was delayed because of the infrequency of their presentation. Both patients eventually underwent a resection of the affected portion of bowel with primary anastamosis and made uneventful recoveries. Conclusions There are multiple medical and surgical management options for small bowel strictures and these depend on the aetiology of the stricture. Ischaemic small bowel strictures represent a difficult diagnosis and the potential resulting delay may be partially responsible for increased morbidity. Barium small bowel .