Multidisciplinary Approach To Acute Mesenteric Ischemia – A Success Case

Authors

  • Oriana Nogueira General Surgery Unit, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, Portugal; Clinical Academic Center of Coimbra, Coimbra, Portugal http://orcid.org/0000-0002-1639-9453
  • José Baião General Surgery Unit, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal http://orcid.org/0000-0003-2065-1196
  • Mariana Duque General Surgery Unit, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, Portugal; Clinical Academic Center of Coimbra, Coimbra, Portugal http://orcid.org/0000-0002-6219-0626
  • Vânia Oliveira Clinical Academic Center of Coimbra, Coimbra, Portugal; Angiology and Vascular Surgery Unit, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, Portugal http://orcid.org/0000-0002-4059-3520
  • Luís Antunes Clinical Academic Center of Coimbra, Coimbra, Portugal; Angiology and Vascular Surgery Unit, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, Portugal http://orcid.org/0000-0001-6237-7354
  • Joana Moreira Clinical Academic Center of Coimbra, Coimbra, Portugal; Angiology and Vascular Surgery Unit, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, Portugal
  • Pedro Oliveira General Surgery Unit, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, Portugal; Clinical Academic Center of Coimbra, Coimbra, Portugal http://orcid.org/0000-0002-7610-7205
  • André Lázaro General Surgery Unit, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, Portugal; Clinical Academic Center of Coimbra, Coimbra, Portugal; Coimbra Institute for Clinical and Biomedical Research (CBR) area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, Coimbra, Portugal http://orcid.org/0000-0003-3910-845X

DOI:

https://doi.org/10.34635/rpc.1026

Keywords:

acute mesenteric ischemia, mesenteric revascularization, bowel resection

Abstract

 Introduction: Acute Mesenteric Ischemia (AMI) is a surgical emergency that results from interruption of mesenteric vascular flow. With a multifactorial etiology, it is often associated with embolic occlusion of the superior mesenteric artery (SMA). Late diagnosis and patient co-morbidities usually lead to high surgical morbidity and mortality rates.


Case Report: We describe a case of a 57-year-old man, admitted to the Emergency Department (ED) with acute abdominal pain and vomiting. After clinical examination and computerized tomography (CT) scan imaging the subject was diagnosed with mesenteric ischemia. The patient underwent emergent surgery, with a multidisciplinary approach including general surgery and vascular surgery teams.
Conclusion: Early diagnosis associated with adequate resuscitation was essential in the patient’s prognosis.

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References

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Published

2024-07-29

Issue

No. 57 (2024): July

Section

Clinical Case

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