A Case of Acute Superior Mesenteric Artery Occlusion Whose Life Was Saved Despite Delayed Diagnosis

DOI Web Site

Bibliographic Information

Other Title
  • 腎機能障害のため造影CTによる診断が遅れたが，最終的に救命し得た急性上腸間膜動脈閉塞症の1例
  • ジンキノウ ショウガイ ノ タメ ゾウエイ CT ニ ヨル シンダン ガ オクレタ ガ,サイシュウテキ ニ キュウメイ シエタ キュウセイ ジョウチョウカンマク ドウミャク ヘイソクショウ ノ 1レイ

Search this article

Abstract

<p>A 79-year-old woman with chronic renal failure and atrial fibrillation presented to our hospital complaining of acute abdominal pain. Abdominal CT revealed a common bile duct stone. Because of renal dysfunction, we did not use contrast medium. However, the following day, the patient’s consciousness disturbance and abdominal pain worsened. Therefore, we performed abdominal contrast-enhanced CT under sodium bicarbonate solution administration to prevent contrast-induced nephropathy, which revealed thrombus occlusion of the superior mesenteric artery (SMA) and poor contrast enhancement of the small intestine wall. The patient was diagnosed as having acute SMA occlusion, and resection of a 410-cm segment of the small bowel was performed. Although she developed short bowel syndrome postoperatively, her life was successfully saved, and her renal function was preserved. In cases of atrial fibrillation presenting with acute abdomen, it is important to perform contrast-enhanced CT for accurate evaluation of the possibility of SMA.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top