medigraphic.com
SPANISH

Revista de la Facultad de Medicina UNAM

  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2020, Number 2

<< Back Next >>

Rev Fac Med UNAM 2020; 63 (2)

Intestinal Ischemia Due to Mesenteric Thrombosis in a Geriatric Patient, Solved by Intervention. Case Report

López ZBE, Cornelio RG, Amador ME
Full text How to cite this article

Language: Spanish
References: 18
Page: 24-32
PDF size: 857.89 Kb.


Key words:

Intestinal ischemia, atherosclerosis, Mesenteric thrombosis, catheterization.

ABSTRACT

Mesenteric thrombosis represents a vascular urgency caused by the abrupt interruption of blood flow, whether arterial or venous; clinical presentation can be nonspecific, which can represent a diagnostic challenge. According to its vascular etiology, a different therapeutic approach is required. If there is clinical suspicion or signs of peritonitis, the imaging diagnosis can support to identify the presented pathology. On this occasion, there is a clinical case of an 84-year-old patient who goes to the emergency department for generalized abdominal pain, which led to a diagnostic imaging study, to confirm this finding.


REFERENCES

  1. Alwan A, et al. Burden: mortality, morbidity and risk factors. En: Global Status Report on Noncommunicable Diseases 2010. Ed. Alwan, A. WHO Press, Geneva, Switzerland, 2011.

  2. Sánchez Fernández P, Mier y Díaz JA, Luque de León E. Enfermedad vascular mesentérica. En: Asociación Mexicana de Cirugía General, A. C., Consejo Mexicano de Cirugía General. Tratado de cirugía general. 2da ed. México: El Manual Moderno; 2008. p. 737-42.

  3. Clair DG, Beach JM. Mesenteric Ischemia. New England Journal of Medicine. 2016;374(10):95968. doi:10.1056/ nejmra1503884.

  4. Wyers MC. Acute mesenteric ischemia: diagnostic approach and surgical treatment. Semin Vasc Surg. 2010; 23(1):9-20.

  5. Shaun P Jackson. Arterial thrombosis: insidious, unpredictable and deadly, Nature Medicine. 2011;17:1423-36. Review Article | Published: 07 November 2011.

  6. Valentine RJ, Wind GG. Anatomic exposures in vascular surgery. Philadelphia: Lippincott Williams & Wilkins; 2003. p. 267-88.

  7. Mastoraki A. Mesenteric ischemia: Pathogenesis and challenging diagnostic and therapeutic modalities. World Journal of Gastrointestinal Pathophysiology. 2016;7(1):125. doi:10.4291/wjgp.v7.i1.125.

  8. Clair DG, Beach JM, Mesenteric Ischemia. N Engl J Med. 2016 Mar;374(10):959-68.

  9. Rosenblum JD, Boyle CM, Schwartz LB. The mesenteric circulation. Anatomy and physiology Surg Clin North Am. 1997;77(2):289.

  10. Daniel Clair. Mesenteric Syndromes. Moore&Ahn Endovascular surgery Fourth Edition 2011, Elsevier. Chapter 35 p.p. 367-82.

  11. American Gastroenterological Association Medical Position Statement. Guidelines on intestinal ischemia. Gastroenterology. 2000;118:951-3. [Erratum in: Gastroenterology. 2000;119:280-1].

  12. Chang L, Kahler KH, Sarawate C, et al. Assessment of potential risk factors associated with ischaemiccolitis. Neurogastroenterol Motil. 2008 Jan;20(1):36-42.

  13. Brandt LJ, Boley SJ. AGA technical review on intestinal ischemia. Gastroenterology. 2000 May;118(5):954-68. doi:10.1053/gg.2000.7031.

  14. Morasch MD, Ebaugh JL, Chiou AC, et al. Mesenteric venous thrombosis: a changing clinical entity. J Vasc Surg. 2001;34:680. [PubMed: 11668324].

  15. James AW, Rabl C, Westphalen AC, et al. Portomesenteric venous thrombosis after laparoscopic surgery: a systematic literature review. Arch Surg. 2009;144:520. [PubMed: 19528384].

  16. Burns BJ, Brandt LJ. Intestinal ischemia. Gastroenterol Clin North Am. 2003 Dec;32(4):1127-43.

  17. Shih MC, Angle JF, Leung DA, et al. CTA and MRA in mesenteric ischemia: part 2, Normal findings and complications after surgical and endovascular treatment. AJR American Journal of Roentgenology. 2007;188(2):462-71.

  18. Herbert GS, Steele SR. Acute and chronic mesenteric ischemia. Surg Clin North Am. 2007 Oct;87(5):1115-34.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Fac Med UNAM . 2020;63