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A Journal on Angiology

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,899

Frequency: Bi-Monthly

ISSN 0392-9590

Online ISSN 1827-1839


International Angiology 2003 December;22(4):438-40


Emergency CT scan for the diagnosis of superior mesenteric artery embolism. Report of 2 cases

Sato O., Okamoto H., Matsumoto H.

Depart­ment of Sur­gery, Sai­ta­ma Med­i­cal Cen­ter, Sai­ta­ma Med­i­cal ­School, Sai­ta­ma, Japan

Two ­patients with super­i­or mes­en­ter­ic ­artery embo­lism are pre­sent­ed. In both cases, con­trast-­enhanced com­put­ed tomog­ra­phy (CT) dem­on­strat­ed enhance­ment of the super­i­or mes­en­ter­ic ­artery roots and non-­enhanced fill­ing ­defect in the more dis­tal part of the ­artery. Imme­di­ate extrac­tion of the embo­lus saved 1 ­patient but mas­sive bowel resec­tion was nec­es­sary in ­another. Mes­en­ter­ic arter­i­og­ra­phy has been the gold­en stan­dard for the diag­no­sis of mes­en­ter­ic occlu­sion, but it is usu­al­ly time-con­sum­ing and not uni­ver­sal­ly avail­able. On the other hand, CT equip­ment is in wide­spread use and the exam­ina­tion can be per­formed much more eas­i­ly. ­Patients with unex­plained acute abdom­i­nal pain ­should under­go CT exam­ina­tion and be ­screened for mes­en­ter­ic arte­ri­al occlu­sion.

language: English


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