Department of Radiology, Istanbul University Cerrahpasa Medical Faculty, Kocamustafapasa, 34303, Istanbul, Turkey.
Jpn J Radiol. 2014 Feb;32(2):113-6. doi: 10.1007/s11604-013-0273-x. Epub 2014 Jan 5.
A case of acute mesenteric ischemia due to thrombosis of superior mesenteric artery and vein in a 44-year-old woman following chemotherapy for invasive laryngeal carcinoma was diagnosed on a multi-detector CT scan. Although the link between malignancy and thromboembolism is widely recognized in patients with cancer, chemotherapy further elevates the risk of thrombosis. Acute mesenteric ischemia associated or not associated with chemotherapy rarely occurs in patients with cancer. Moreover, co-occurrence of superior mesenteric artery and superior mesenteric vein thrombosis is reported for the first time.
一位 44 岁女性,因喉癌浸润行化疗后,出现急性肠系膜缺血,肠系膜上动、静脉血栓形成,多排 CT 扫描诊断。尽管恶性肿瘤与血栓栓塞之间的联系在癌症患者中已得到广泛认可,但化疗进一步增加了血栓形成的风险。化疗相关或不相关的急性肠系膜缺血在癌症患者中很少见。此外,肠系膜上动脉和肠系膜上静脉血栓形成同时发生也实属罕见。