Different Treatment Modality in the Management of Acute Mesenteric Ischemia.
acute mesenteric ischemia
endovascular treatment
illio-mesenteric artery bypass
open approach.
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
05 Jan 2021
05 Jan 2021
Historique:
entrez:
11
1
2021
pubmed:
12
1
2021
medline:
12
1
2021
Statut:
epublish
Résumé
Mesenteric ischemia (MI) is a reduction in blood flow of the mesenteric vessels resulting in ischemia or infarction if not treated properly. It is difficult to diagnose and it has a high rate of mortality. Moreover, it is managed either by open surgery or endovascular approach. We present a case of a 79-year-old male patient with MI managed initially by thrombolytic therapy with stent through inferior mesenteric artery which has failed. Few days later he presented with the same complaint. He was treated with heparin for five days and discharged in good condition. Six days later, the patient returned to the ED with MI and managed successfully with retrograde right common ilio-mesenteric artery bypass with no complication and made full recovery. Endovascular revascularization is a minimally invasive approach and it is the initial treatment of choice for mesenteric occlusive disease. However, this approach is not always feasible which explains the role for open approach.
Identifiants
pubmed: 33425558
doi: 10.7759/cureus.12490
pmc: PMC7785501
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e12490Informations de copyright
Copyright © 2021, Selim et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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