Embolism of the Upper Mesenteric Artery
Embolie do horní mezenterické tepny
Je prezentována kazuistika 53letého muže operovaného pro ischemickou gangrénu tenkého střeva a pravé poloviny tračníku v.s. embolické etiologie při závažné komorbiditě. Byla provedena resekce většiny tenkého střeva a pravostranná hemikolektomie s vysokou jejunostomií a transversostomií. Pacient překvapivě velmi dobře zvládl tuto operaci, ale i následnou s obnovením kontinuity pasáže. Pro mykotickou infekci pravé síně (kde vegetace u kardiostimulační elektrody) byla vynucena další chirurgická intervence. Pacient v odstupu 5 měsíců od první operace umírá na generalizaci mykotické infekce. Diskuze k uvedené problematice.
Klíčová slova:
mezenterická cévní okluze, horní mezenterická tepna, embolizace.
Authors:
Z. Krška; J. Hořejš 1; V. Danzig 2
Authors‘ workplace:
I. chirurgická klinika 1. LF UK a VFN, Praha
; Radiodiagnostická klinika 1. LF UK a VFN, Praha
1; I. interní klinika 1. LF UK a VFN, Praha
2
Published in:
Čas. Lék. čes. 2005; 144: 697-698
Category:
Case Report
Overview
The article presents a case report of a 53-year-old man, who underwent abdominal surgery for the ischemic vascular necrosis of the small bowel and right colon of the embolic aetiology and who has had several serious comorbidities. Resection of the major part of the small bowel and right hemicolectomy with high jejunostomy and transversostomy was performed. Not only has the patient very well tolerated the first surgery, but he tolerated also the other one with recovery of passage continuity. The other surgery was necessary due to mycotic infection in the right atrium (vegetations at the heart pacing electrode). After 5 months the patient died because of generalisation of mycotic infection. The problem of mesenteric vascular occlusions is discussed.
Key words:
mesenteric vascular occlusion, mesenteric superior artery, embolism.
Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistArticle was published in
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