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Khirurgiia (Mosk) ; (8): 98-105, 2022.
Article in Russian | MEDLINE | ID: mdl-35920229

ABSTRACT

The authors report endovascular treatment of acute thromboembolic occlusion of superior mesenteric artery in a 75-year-old patient whose postoperative period was complicated by massive reperfusion and translocation syndrome. Contrast-enhanced CT in 12 hours after successful thrombectomy from superior mesenteric artery revealed CT signs of irreversible bowel lesion, i.e. gas in hepatic veins, intestinal wall and mesenteric veins, bowel wall thinning. In addition, CT revealed extremely rare sign of severe acute mesenteric ischemia (gas in superior mesenteric artery and celiac axis). We found no description of gas in celiac axis following acute mesenteric ischemia in available literature.


Subject(s)
Mesenteric Ischemia , Mesenteric Vascular Occlusion , Aged , Celiac Artery/diagnostic imaging , Celiac Artery/surgery , Humans , Mesenteric Artery, Superior/diagnostic imaging , Mesenteric Artery, Superior/surgery , Mesenteric Ischemia/diagnosis , Mesenteric Ischemia/etiology , Mesenteric Ischemia/surgery , Mesenteric Vascular Occlusion/diagnosis , Mesenteric Vascular Occlusion/etiology , Mesenteric Vascular Occlusion/surgery , Necrosis/complications , Tomography, X-Ray Computed
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