Multidisciplinary Approach To Acute Mesenteric Ischemia – A Success Case

Oriana Nogueira; José Baião; Mariana Duque; Vânia Oliveira; Luís Antunes; Joana Moreira; Pedro Oliveira; André Lázaro

doi:10.34635/rpc.1026

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

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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