Acute Mesenteric Ischemia With Secondary Thromboembolism: A Rare Complication.
acute mesenteric ischemia
atrial fibrillation
left atrial thrombus
secondary thrombus
vascular surgery
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
29 Jul 2020
29 Jul 2020
Historique:
entrez:
3
9
2020
pubmed:
3
9
2020
medline:
3
9
2020
Statut:
epublish
Résumé
Acute mesenteric ischemia presents a clinical challenge due to its subtle presentation and high mortality rate, which can mimic a variety of other conditions. Acute mesenteric ischemia requires a high index of suspicion, especially in those with comorbidities and risk factors such as hypertension, diabetes, atrial fibrillation, and peripheral arterial disease. The inciting thrombus commonly originates in the left atrial appendage or left atrium, embolizing to occlude mesenteric vessels, with resulting gut ischemia. Patients commonly present with post-prandial abdominal pain as mesenteric vascular demands increase, though diarrhea and gastrointestinal bleeding may be the presenting symptom. CT angiography of the abdomen and pelvis provides rapid confirmation of the diagnosis and visualization of the thrombus, aiding vascular surgical management. The authors present a novel case of a 69-year-old female with an acute mesenteric ischemia of her superior mesenteric artery and a second acute arterial thromboembolism to the right axillary artery visualized from her left atrial appendage.
Identifiants
pubmed: 32874790
doi: 10.7759/cureus.9458
pmc: PMC7455393
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e9458Informations de copyright
Copyright © 2020, Figlewicz et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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