tailieunhanh - báo cáo khoa học: " Acute thrombosis of the superior mesenteric artery in a 39-year-old woman with protein-S deficiency: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Acute thrombosis of the superior mesenteric artery in a 39-year-old woman with protein-S deficiency: a case report | Romano et al. Journal of Medical Case Reports 2011 5 17 http content 5 1 17 JOURNALOF medical Ur Case REPORTS CASE REPORT Open Access Acute thrombosis of the superior mesenteric artery in a 39-year-old woman with protein-S deficiency a case report Nicola Romano Valerio Prosperi Giancarlo Basili Luca Lorenzetti Valerio Gentile Remo Luceretti Graziano Biondi Orlando Goletti Abstract Introduction Acute thromboembolic occlusion of the superior mesenteric artery is a condition with an unfavorable prognosis. Treatment of this condition is focused on early diagnosis surgical or intravascular restoration of blood flow to the ischemic intestine surgical resection of the necrotic bowel and supportive intensive care. In this report we describe a case of a 39-year-old woman who developed a small bowel infarct because of an acute thrombotic occlusion of the superior mesenteric artery also involving the splenic artery. Case presentation A 39-year-old Caucasian woman presented with acute abdominal pain and signs of intestinal occlusion. The patient was given an abdominal computed tomography scan and ultrasonography in association with Doppler ultrasonography highlighting a thrombosis of the celiac trunk of the superior mesenteric artery and of the splenic artery. She immediately underwent an explorative laparotomy and revascularization was performed by thromboendarterectomy with a Fogarty catheter. In the following postoperative days she was given a scheduled second and third look evidencing necrotic jejunal and ileal handles. During all the surgical procedures we performed intraoperative Doppler ultrasound of the superior mesenteric artery and celiac trunk to control the arterial flow without evidence of a new thrombosis. Conclusion Acute mesenteric ischemia is a rare abdominal emergency that is characterized by a high mortality rate. Generally acute mesenteric ischemia is due to an impaired blood supply to the intestine caused by thromboembolic .