Thromboembolic Acute Mesenteric Ischemia – A unusual case

  • Paulo Simões Assistente Hospitalar Graduado de Cirurgia Geral do Hospital de Santa Cruz – Serviço de Cirurgia Geral – Centro Hospitalar Lisboa Ocidental (CHLO); Portugal
  • Luísa Martinez Interno do Internato Complementar de Cirurgia Geral do Hospital de Santa Cruz – Serviço de Cirurgia Geral – CHLO; Portugal
  • Paula Campos Assistente Hospitalar Graduada de Radiologia do Hospital de Santa Maria – Serviço de Radiologia – Centro Hospitalar Lisboa Norte; Portugal
  • Rui Teles Assistente de Cardiologia do Hospital de Santa Cruz – Serviço de Cardiologia – CHLO; Portugal
  • Humberto Messias Chefe de Serviço de Cirurgia Geral – Serviço de Cirurgia Geral – Director do Departamento de Cirurgia do CHLO; Portugal

Abstract

Acute mesenteric ischemia (IMA) is an infrequent clinical situation with high mortality. As general rule, early diagnosis and prompt revascularization are crucial in order to prevent intestinal infarction and reduce mortality.

We report a case of thromboembolic acute mesenteric ischemia of delayed clinical diagnosis, without intestinal infarction, successively treated by endovascular percutaneous angioplasty. The abdominal symptoms subsided immediately after this procedure, thus avoiding the need for surgical bowel resection.

Keywords: Acute mesenteric ischemia, thromboembolic occlusion, intestinal angina, percutaneous transluminal angioplasty, superior mesenteric artery 

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Published
2009-12-27
How to Cite
SIMÕES, Paulo et al. Thromboembolic Acute Mesenteric Ischemia – A unusual case. Revista Portuguesa de Cirurgia, [S.l.], n. 11, p. 51-55, dec. 2009. ISSN 2183-1165. Available at: <https://revista.spcir.com/index.php/spcir/article/view/190>. Date accessed: 24 apr. 2024.
Section
Clinical Case