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ISSN 1029-3019 (Electronic)

2023, Number 01

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MediSan 2023; 27 (01)

Intestinal occlusion due to polycythemia vera in an old woman

Bejerano GRJ, Lamotte RD, Rodríguez VRF

Language: Spanish
References: 10
Page:
PDF size: 592.80 Kb.


ABSTRACT

The case report of a 67 years patient with several comorbidities is described, among them polycythemia vera, who went to the emergency room of Ambrosio Grillo Portuondo University Clinical Surgical Hospital in Santiago de Cuba due to symptoms and signs of a syndrome of occlusive acute abdomen. An emergency surgical intervention was indicated, that confirmed the presumptive diagnosis of mesenteric vascular thrombosis. The immediacy of the surgical treatment, the reversibility of the vascular damage without necessity of intestinal resection procedure and the effective use of anticoagulants allowed a favorable clinical course without complications.


REFERENCES

  1. Fernández Sanz PL, Rodríguez Pascual Y, Sánchez Pupo E, Sanz Pupo NJ, González Pérez A. Diagnóstico y tratamiento de la isquemia mesentérica aguda por oclusión vascular. Correo Cient Méd. 2018 [citado 18/01/2023];22(3):514-29. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1560-43812018000300013&lng=es

  2. Cano Matías A, Marenco de la Cuadra B, Sánchez Ramírez M, Retamar Gentil M, Pérez Margallo E, Oliva Mompeán F, et al. Isquemia mesentérica aguda: un desafío aún no resuelto. Cir Andal. 2019 [citado 15/08/2020];30(1):57-65. Disponible en: https://www.asacirujanos.com/admin/upfiles/revista/2019/Cir_Andal_vol30_n1_09.pdf

  3. Kärkkäinen JM, Acosta S. Acute mesenteric ischemia (part I) – Incidence, etiologies, and how to improve early diagnosis. Best Pract Res Clin Gastroenterol. 2017;31(1):15-25.

  4. Poma Ramón LA, Porres Gonzagas KJ, Romero Córdova MC, Sánchez Feijoo VA, Ortega KA. Policitemia vera: Presentación Clínica, Diagnóstico y Tratamiento. A Propósito de un Caso. Rev Ocronos. 2020 [citado 15/08/2020];3(1):8. Disponible en: https://revistamedica.com/policitemia-vera-clinica-diagnostico-tratamiento/

  5. Yagi S, Kioka K, Koizumi Y, Nakai T, Kawasaki Y, Tsutsumi M, et al. Ischemic enteritis resulting from polycythemia vera. Clin J Gastroenterol. 2022;15(5):907–12.

  6. Trejo Ávila ME, Arce Liévano E, Quendis Velázquez A, Romero Loera LZ. Síndrome abdominal agudo por trombosis venosa mesentérica y portal. Rev Fac Med UNAM. 2017 [citado 15/08/2020];60(1):23-7. Disponible en: https://www.medigraphic.com/pdfs/facmed/un-2017/un171d.pdf

  7. Correa Saavedra MA, Ruiz Mejía C. Policitemia vera: presentación clínica, diagnóstico y nuevos abordajes terapéuticos. Archivos de Medicina (Col). 2018 [citado 15/08/2020];18(2):421-31. Disponible en: http://www.redalyc.org/articulo.oa?id=273857650015

  8. McMullin MF, Harrison CN, Ali S, Cargo C, Chen F, Ewing J, et al. A guideline for the diagnosis and management of polycythaemia vera. A British Society for Haematology Guideline. British Journal of Haematology. 2019 [citado 15/08/2020];184(2):176–91. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1111/bjh.15648

  9. Mastoraki A, Mastoraki S, Tziava E, Touloumi S, Krinos N, Danias N, et al. Mesenteric ischemia: Pathogenesis and challenging diagnostic and therapeutic modalities. World J Gastrointest Pathophysiol. 2016 [citado 15/08/2020];7(1):125-30. Disponible en: https://www.wjgnet.com/2150-5330/full/v7/i1/125.htm

  10. Sánchez García NL, Elvirez Gutiérrez Á, García Bacallao EF, Lazo del Vallín S. Isquemia mesentérica crónica. Informe de caso. Acta Médica del Centro. 2019 [citado 18/01/2023];13(2). Disponible en: https://revactamedicacentro.sld.cu/index.php/amc/article/view/973/1273




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