腹腔干肠系膜干血栓形成：病例报告。
Thrombosis of celiacomesenteric trunk: report of a case.
机构信息
Division of General and Vascular Surgery, San Biagio Hospital, Domodossola, Italy.
出版信息
World J Gastroenterol. 2012 Aug 7;18(29):3917-20. doi: 10.3748/wjg.v18.i29.3917.
Abstract
Here we present the case of a 79-year-old woman who complained of acute abdominal pain, vomiting and diarrhoea. Laboratory exams demonstrated a severe metabolic imbalance. Abdominal X-rays showed bowel overdistension and pneumatosis of the stomach wall. Abdominal tomography revealed infarction of the stomach, duodenum and small bowel due to thrombosis of the celiacomesenteric trunk. Exploratory laparotomy revealed ischemia of the liver, spleen infarction and necrosis of the gastro-intestinal tube (from the stomach up to the first third of the transverse colon). No further surgical procedures were performed. The patient died the following day. To our knowledge, this is the first reported case about severe gastro-intestinal ischemia due to thrombosis of the celiacomesenteric trunk, a rare anatomic variation of the gastrointestinal vascularisation.
摘要
我们在此介绍一例 79 岁女性病例，其主诉为急性腹痛、呕吐和腹泻。实验室检查显示严重的代谢失衡。腹部 X 光片显示肠腔过度扩张和胃壁积气。腹部 CT 显示胃、十二指肠和小肠因腹腔干肠系膜血栓形成而发生梗死。剖腹探查显示肝缺血、脾梗死和胃肠道（从胃到横结肠的前 1/3 段）坏死。未进行进一步的手术。患者次日死亡。据我们所知，这是首例报道的因腹腔干肠系膜血栓形成导致严重胃肠道缺血的病例，这是胃肠道血管解剖变异的罕见情况。
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Clinics (Sao Paulo). 2011;66(1):169-71. doi: 10.1590/s1807-59322011000100030.
2
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Rom J Morphol Embryol. 2010;51(2):401-2.
3
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Singapore Med J. 2010 Mar;51(3):216-9.
4
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5
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Singapore Med J. 2010 Jan;51(1):e6-8.
6
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7
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8
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