Multidisciplinary diagnostic and therapeutic approach to acute mesenteric ischaemia : a case report with literature review

Janež, Jurij (author), Klen, Jasna (author)

Superior mesenteric artery embolisation is the most common cause of acute mesenteric ischaemia. Superior mesenteric artery embolisation can be caused by various cardiac diseases (myocardial ischaemia or infarction, atrial tachyarrhythmias, endocarditis, cardiomyopathies, ventricular aneurysms and valvular disorders), arterial aneurysms, ulcerated atherosclerotic plaques of the major arteries and others. A case of 65-year-old, previously healthy man with superior mesenteric artery embolism, who was found to also have mural aortic thrombi, is presented. The patient underwent an emergency procedure; small intestine and cecum were resected and jejuno-ascendo anastomosis was performed. The patient was put on lifelong anticoagulation therapy. Neither cardiac diseases nor arterial aneurysms were detected. There were no signs of underlying atherosclerosis. Work-up for antiphospholipid antibodies and rheumatic diseases was negative. Tumour markers were within normal levels and blood cultures were negative. This case represents the challenges in recognising an underlying cause of acute mesenteric embolism and highlights the importance of multidisciplinary diagnostic and treatment approach.

• Language: English
• Keywords: acute mesenteric ischaemia, arterial embolism, aetiology, diagnostic approach
• Work type: Article
• Typology: 1.02 - Review Article
• Organization: MF - Faculty of Medicine
• Publication status: Published
• Publication version: Version of Record
• Year: 2021
• Number of pages: 6 str.
• Numbering: Vol. 9
• PID: 20.500.12556/RUL-144129
• UDC: 617
• ISSN on article: 2050-313X
• DOI: 10.1177/2050313X211004804
• COBISS.SI-ID: 65015299
• Publication date in RUL: 01.02.2023

Record is a part of a journal

• Title: SAGE open medical case reports
• Publisher: SAGE
• ISSN: 2050-313X
• COBISS.SI-ID: 523390489

Licences

• License: CC BY 4.0, Creative Commons Attribution 4.0 International
• Link: http://creativecommons.org/licenses/by/4.0/
• Description: This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.

Secondary language

• Language: Slovenian
• Keywords: akutna ishemija, arterijski embolizem, etiologija, diagnostični pristop