Multidisciplinary Approach To Acute Mesenteric Ischemia – A Success Case
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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2. Lim S, Halandras P, Bechara C, Aulivola B, Crisostomo P. Contemporary management of acute mesenteric ischemia in the endovascular era. Vasc Endovascular Surg. 2019; 53(1);42-50.
3. Clair D & Beach J. Mesenteric ischemia. N Engl J Med. 2016;374(10);959-968.
4. Luther B, Mamopoulos A, Lehmann C, Klar E. The ongoing challenge of acute mesenteric ischemia. Visc Med. 2018; 34(3);217-223.
5. Bala M, Catena F, Kashuk J, De Simone B, Weber D, Sartelli M, et al. Acute mesenteric ischemia: update guidelines of the World Society of Emergency Surgery. World J Emerg Surg. 2022;17(54).
6. Karkkainen J & Acosta S. Acute mesenteric ischemia (part I) – Incidence, etiologies, and how to improve early diagnosis. Best Pract. Res. Clin. Gastroenterol. 2017;31;15-25.
7. Hawthoen B & Ratnam L. Acute mesenteric ischaemia: imaging and intervention. Clinical Radiology. 2020;75(5);398.E19-398.E28.
8. Savlania A & Tripathi R. Acute mesenteric ischemia: current multidisciplinary approach. The Journal of Cardiovascular Surgery. 2017;58(2);339-350.
9. Salsano G, Salsano A, Sportelli E, Petrocelli F, Dahmane M, Spinella G, et al .What is the best revascularization strategy for acute occlusive arterial mesenteric ischemia: systematic review and meta-analysis. Cardiovasc Intervent Radiol. 2018; 41; 27-36.
10. Karkkainen J & Acosta S. Acute mesenteric ischemia (Part II) – Vascular and endovascular approaches. 2017;31(1);27-38.
11. Björck M, Koelemay M, Acosta S, Goncalves F, Kolbel T, Kolkman J. Editor’s Choice – Management of the diseases of mesenteric arteries and veins: clinical practice guidelines of the European Society of Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg. 2017;53(4);460-510.
12. Blauw J, Bulut T, Oderich G, Geelkerken B .Mesenteric vascular treatment 2016: from open surgical repair to endovascular revascularization.Best Pract. Res. Clin. Gastroenterol.2017; 35;75-84.
13. Zhao Y, Yin H, Yao C, Deng J, Wang M, Li Z, Chang G. Management of acute mesenteric ischemia: a critical review and treatment algorithm. Vasc Endovasc Surg. 2016;50(3);183-192.
14. Farargy M, Hadi A, Eisha M, Bashaeb K, Antoniou G. Systematic review and meta-analysis of endovascular treatment for acute mesenteric ischaemia. Vascular. 2017;25(4); 430-438.
Published
2024-07-29
How to Cite
NOGUEIRA, Oriana et al.
Multidisciplinary Approach To Acute Mesenteric Ischemia – A Success Case.
Revista Portuguesa de Cirurgia, [S.l.], n. 57, p. 129-134, july 2024.
ISSN 2183-1165.
Available at: <https://revista.spcir.com/index.php/spcir/article/view/1026>. Date accessed: 19 aug. 2024.
doi: https://doi.org/10.34635/rpc.1026.
Issue
Section
Clinical Case