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open access

Vol 16, No 2 (2010)
Case report
Published online: 2010-07-13
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Chronic mesenteric ischaemia: diagnostic and therapeutic difficulties

Grzegorz Jarczyk, Marian Janowski, Maciej Jaworski, Marek Jackowski
Acta Angiologica 2010;16(2):85-92.

open access

Vol 16, No 2 (2010)
Case reports
Published online: 2010-07-13

Abstract

Chronic mesenteric ischaemia is most often caused by the development of atherosclerosis of two or three mesenteric arteries. Some patients require treatment not only because of significant symptoms, but also because of the potential risk of intestinal necrosis. This study presents the case of a 56-year-old female patient admitted to the Department due to severe abdominal pain, cyclic diarrhoea, and significant weight loss lasting for a period of 1.5 years. Duplex ultrasound and angioCT examinations showed complete occlusion of the proximal segment of the superior mesenteric artery. The patient was qualified to aorto-mesenteric graft surgery below the renal arteries. The segment of the saphenous vein that was used initially did not ensure sufficient circulation in the vicinity of the superior mesenteric artery. The vein was replaced by a PTFE prosthesis of greater diameter, which enabled a good treatment effect. Two years after the operation the patient is asymptomatic, has gained 10 kg, and the prosthesis remains patent - which was confirmed by means of Duplex ultrasound. The Authors mention the often delayed diagnosis in these patients, and need for the individual selection of the therapeutic method.
Acta Angiol 2010; 16, 2: 85-92

Abstract

Chronic mesenteric ischaemia is most often caused by the development of atherosclerosis of two or three mesenteric arteries. Some patients require treatment not only because of significant symptoms, but also because of the potential risk of intestinal necrosis. This study presents the case of a 56-year-old female patient admitted to the Department due to severe abdominal pain, cyclic diarrhoea, and significant weight loss lasting for a period of 1.5 years. Duplex ultrasound and angioCT examinations showed complete occlusion of the proximal segment of the superior mesenteric artery. The patient was qualified to aorto-mesenteric graft surgery below the renal arteries. The segment of the saphenous vein that was used initially did not ensure sufficient circulation in the vicinity of the superior mesenteric artery. The vein was replaced by a PTFE prosthesis of greater diameter, which enabled a good treatment effect. Two years after the operation the patient is asymptomatic, has gained 10 kg, and the prosthesis remains patent - which was confirmed by means of Duplex ultrasound. The Authors mention the often delayed diagnosis in these patients, and need for the individual selection of the therapeutic method.
Acta Angiol 2010; 16, 2: 85-92

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Keywords

chronic mesenteric ischaemia; superior mesenteric artery impatency

About this article
Title

Chronic mesenteric ischaemia: diagnostic and therapeutic difficulties

Journal

Acta Angiologica

Issue

Vol 16, No 2 (2010)

Article type

Case report

Pages

85-92

Published online

2010-07-13

Page views

1136

Article views/downloads

2526

Bibliographic record

Acta Angiologica 2010;16(2):85-92.

Keywords

chronic mesenteric ischaemia
superior mesenteric artery impatency

Authors

Grzegorz Jarczyk
Marian Janowski
Maciej Jaworski
Marek Jackowski

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