TY - JOUR
T1 - A case of acute occlusion of superior mesentric artery treated by intraoperative angiography and subsequent thrombectomy
AU - Ohtsuka, Takao
AU - Nakagawachi, Akira
AU - Shimonishi, Tomonori
AU - Koga, Kiyokazu
AU - Okazaki, Yukio
AU - Nakafusa, Yuji
AU - Miyazaki, Kohji
PY - 2007/8
Y1 - 2007/8
N2 - A 69-year-old man with untreated atrial fibrillation admitted for intermittent abdominal pain and bloody stool was found in computed tomography (CT) to have occlusion of the superior mesenteric artery (SMA). Laboratory data suggested intestinal necrosis necessitating emergency laparotomy. The jejunum and ileum were found to be ischemic but not necrotic. Intraoperative angiography showed the SMA to be occluded just distal to the first jejunal branch. Subsequent SMA exploration led to thrombectomy. The ischemic color of the small intestine recovered immediately after thrombectomy, as did pulsation of the blood supply to the small intestine. The postoperative clinical course of the patient was good. Our case demonstrates that intraoperative angiography is useful in evaluating the occlusion site in the SMA when the patient undergoes laparotomy with a diagnosis of intestinal necrosis and ischemic change is found to be reversible.
AB - A 69-year-old man with untreated atrial fibrillation admitted for intermittent abdominal pain and bloody stool was found in computed tomography (CT) to have occlusion of the superior mesenteric artery (SMA). Laboratory data suggested intestinal necrosis necessitating emergency laparotomy. The jejunum and ileum were found to be ischemic but not necrotic. Intraoperative angiography showed the SMA to be occluded just distal to the first jejunal branch. Subsequent SMA exploration led to thrombectomy. The ischemic color of the small intestine recovered immediately after thrombectomy, as did pulsation of the blood supply to the small intestine. The postoperative clinical course of the patient was good. Our case demonstrates that intraoperative angiography is useful in evaluating the occlusion site in the SMA when the patient undergoes laparotomy with a diagnosis of intestinal necrosis and ischemic change is found to be reversible.
UR - http://www.scopus.com/inward/record.url?scp=34548276937&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=34548276937&partnerID=8YFLogxK
U2 - 10.5833/jjgs.40.1520
DO - 10.5833/jjgs.40.1520
M3 - Article
AN - SCOPUS:34548276937
VL - 40
SP - 1520
EP - 1524
JO - Japanese Journal of Gastroenterological Surgery
JF - Japanese Journal of Gastroenterological Surgery
SN - 0386-9768
IS - 8
ER -