| ID | 62406 |
| JaLCDOI | |
| FullText URL | |
| Author |
Yamashita, Mampei
Department of Surgery, National Hospital Organization Nagasaki Medical Center
Kuroki, Tamotsu
Department of Surgery, National Hospital Organization Nagasaki Medical Center
Matsuoka, Yuki
Department of Pathology, National Hospital Organization Nagasaki Medical Center
Miura, Shiro
Department of Pathology, National Hospital Organization Nagasaki Medical Center
Hamada, Takashi
Department of Surgery, National Hospital Organization Nagasaki Medical Center
Hirayama, Takanori
Department of Surgery, National Hospital Organization Nagasaki Medical Center
Yoneda, Akira
Department of Surgery, National Hospital Organization Nagasaki Medical Center
Tokunaga, Takayuki
Department of Surgery, National Hospital Organization Nagasaki Medical Center
Yamanouchi, Kosho
Department of Surgery, National Hospital Organization Nagasaki Medical Center
Takeshita, Hiroaki
Department of Surgery, National Hospital Organization Nagasaki Medical Center
Maeda, Shigeto
Department of Surgery, National Hospital Organization Nagasaki Medical Center
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| Abstract | Acute mesenteric ischemia (AMI) is often caused by superior mesenteric artery (SMA) embolization. We report a rare case of synchronous celiac axis and SMA embolization in an elderly woman with initially mild abdominal pain. Ultimately, a second contrast-enhanced computed tomography revealed extensive necrosis from the stomach to the transverse colon together with liver ischemia due to hours of occlusion. Multiorgan failure made palliation the only option, and she died the following evening. Autopsy revealed a fragile atherosclerosis-asso-ciated thrombus. Careful examination and repeat diagnostic tests should be performed in patients with mild abdominal symptoms at risk for AMI.
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| Keywords | atherosclerosis
celiac axis
mesenteric ischemia
superior mesenteric artery
thromboembolism
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| Amo Type | Case Report
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| Publication Title |
Acta Medica Okayama
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| Published Date | 2021-08
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| Volume | volume75
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| Issue | issue4
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| Publisher | Okayama University Medical School
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| Start Page | 523
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| End Page | 527
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| ISSN | 0386-300X
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| NCID | AA00508441
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| Content Type |
Journal Article
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| language |
English
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| Copyright Holders | CopyrightⒸ 2021 by Okayama University Medical School
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| File Version | publisher
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| Refereed |
True
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| PubMed ID | |
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| NAID |
