Abstract
Results Only 12 patients (37.5%) performed a preoperative diagnostic CT study, whereas in 20 cases (62.5%) the intestinal ischemia was diagnosed during surgical exploration. The acute mesenteric ischemia caused primarily by occlusive superior mesenteric artery in 26 cases (81.2%) and by venous thrombosis in 6 cases (18.7%). Most of the embolus are located approximately 3–10 cm from superior mesenteric artery emergence. An arterial embolus can be detected like filling defect or like an abrupt interruption of vascular enhancement. Frequently a secondary venous thrombosis follows the arterial occlusion. CT shows a moderate intestinal wall thickening and inclusions in air signs of intestinal gangrene. Only 19 (59.3%) of 32 patients survived the acute intestinal ischemia (in hospital mortality was 40.6%), delayed diagnostic and operation caused higher mortality. In 12 cases a preoperative diagnostic CT was performed the mortality was 32.5%.
Highlights
Acute mesenteric ischemia is not a frequent abdominal emergency
XI Annual Meeting of The Italian Society of Geriatric Surgery Francesco Sciannameo, Giammario Giustozzi and Beatrice Sensi Publication of this supplement was made possible with support from the Fondazione Cassa di Risparmio di Terni e Narni Meeting abstracts – A single PDF containing all abstracts in this Supplement is available here. http://www.biomedcentral.com/content/pdf/1471-2318-9-S1
According a difficult clinical diagnosis of acute mesenteric ischemia and the necessity of an early diagnosis we suggest to perform a CT at all patients with risk factors and acute abdominal pain for whom we have a clinical suspicious
Summary
Address: Department of General and Emergency Surgery, Hospital S. Maria and University of Perugia, Terni, Italy * Corresponding author from XXI Annual Meeting of The Italian Society of Geriatric Surgery Terni, Italy. Published: 1 April 2009 BMC Geriatrics 2009, 9(Suppl 1):A52 doi:10.1186/1471-2318-9-S1-A52. XI Annual Meeting of The Italian Society of Geriatric Surgery Francesco Sciannameo, Giammario Giustozzi and Beatrice Sensi Publication of this supplement was made possible with support from the Fondazione Cassa di Risparmio di Terni e Narni Meeting abstracts – A single PDF containing all abstracts in this Supplement is available here. http://www.biomedcentral.com/content/pdf/1471-2318-9-S1-
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