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Protrahovaný průběh u akutní mezenteriální ischemie. Kazuistika
[Acute mesenterial ischemia and its protracted course]
L. Puszkailer, V. Prášil, M. Loveček, J. Smetka, M. Hruška, M. Langer, D. Guzyová
Status minimální Jazyk čeština Země Slovensko
Introduction: Acute mesenterial ischemia belongs to diagnosis of acute abdomen and if left untreated, leads to death of a patient. The problem is in early diagnosis. Case report: Authors present a case of long-lasting acute mesenterial ischemia which was caused by thrombotic closure of upper mesenteric artery. Diagnosis and therapy is described in the text. Discussion: Diagnosis of acute mesenterial ischemia is often difficult. There are no biochemical markers that would be sufficiently specific for the diagnosis. CT angiography yields best results in imaging methods. The intervention is the next step after the examination. In acute state, usually radiologic intervention is the method of choice. Surgical intervention is indicated in case of intestinal necrosis. The range of resection has to be maximally saving. In the event of uncertainty concerning intestine vitality, second look operation is indicated. Conclusion: Acute mesenterial ischemia is a serious disease and only early diagnosis and interdisciplinary cooperation gives a chance to successfully treat a patient.
1 Chirurgická klinika FN a LF UP Olomouc
Chirurgicko traumatologické oddělení nemocnice Šternberk SMN a s
Acute mesenterial ischemia and its protracted course
Literatura
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- $a Acute mesenterial ischemia and its protracted course
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- $a Introduction: Acute mesenterial ischemia belongs to diagnosis of acute abdomen and if left untreated, leads to death of a patient. The problem is in early diagnosis. Case report: Authors present a case of long-lasting acute mesenterial ischemia which was caused by thrombotic closure of upper mesenteric artery. Diagnosis and therapy is described in the text. Discussion: Diagnosis of acute mesenterial ischemia is often difficult. There are no biochemical markers that would be sufficiently specific for the diagnosis. CT angiography yields best results in imaging methods. The intervention is the next step after the examination. In acute state, usually radiologic intervention is the method of choice. Surgical intervention is indicated in case of intestinal necrosis. The range of resection has to be maximally saving. In the event of uncertainty concerning intestine vitality, second look operation is indicated. Conclusion: Acute mesenterial ischemia is a serious disease and only early diagnosis and interdisciplinary cooperation gives a chance to successfully treat a patient.
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