Rispoli P, Conforti M, Melloni C, Barile G, Raso A M
Department of Medical and Surgical Disciplines of the University of Turin, Italy.
J Cardiovasc Surg (Torino). 2000 Oct;41(5):763-6.
The authors report a case of acute superior mesenteric and right renal artery embolism that occurred during an interventional radiological procedure on the abdominal aorta of a young diabetic woman. The onset of a severe abdominal pain during the procedure evoked the clinical suspicion of intestinal ischemia related to the dislodgement of atheroembolic material into the mesenteric artery; the event was correctly diagnosed, but the surgical therapy was delayed by many hours because of the fact that the patient was in a peripheral hospital of the region and had to be transferred to our institution. Fortunately in spite of the considerable delay, the operation was fully successful, probably because of the favourable location of the embolus, which allowed collateral splanchnic circulation to maintain a good metabolic balance.
作者报告了一例急性肠系膜上动脉和右肾动脉栓塞病例，该病例发生在一名年轻糖尿病女性的腹主动脉介入放射学手术过程中。手术期间突发严重腹痛，引发了临床对与动脉粥样硬化栓子进入肠系膜动脉导致肠缺血相关的怀疑；该事件得到了正确诊断，但由于患者在该地区的一家外围医院，必须转至我们机构，手术治疗延迟了数小时。幸运的是，尽管有相当长的延迟，手术仍完全成功，这可能是因为栓子的位置有利，使得内脏侧支循环能够维持良好的代谢平衡。
