Grupo de Investigación en Salud Integral (GISI), Departamento Facultad de Salud, Universidad Santiago de Cali, Cali 5183000, Colombia.
Medicina (Kaunas). 2023 Jul 18;59(7):1325. doi: 10.3390/medicina59071325.
Mesenteric ischemia is a serious complication that can occur after splenectomy for hemolytic anemia, potentially leading to lifelong intestinal problems such as ischemia and/or portal hypertension. We present the case of a 33-year-old man with a history of autoimmune hemolytic anemia and splenectomy who developed mesenteric ischemia. The patient experienced abdominal pain and diarrhea, and imaging studies revealed mesenteric vein thrombosis. Surgical intervention confirmed the diagnosis. This case significantly contributes to the existing literature by providing insights into the occurrence of mesenteric ischemia in younger individuals with predisposing factors, as well as its clinical presentation, diagnostic challenges, and severity. Moreover, it has implications for the future diagnosis and management of long-term mesenteric ischemia in patients who have undergone splenectomy for hemolytic anemia.
肠系膜缺血是一种严重的并发症，可发生于溶血性贫血脾切除术后，可能导致终身的肠道问题，如缺血和/或门静脉高压。我们报告了一例 33 岁男性，既往有自身免疫性溶血性贫血和脾切除术病史，发生肠系膜缺血。患者出现腹痛和腹泻，影像学研究显示肠系膜静脉血栓形成。手术干预证实了诊断。该病例通过提供有关有倾向因素的年轻个体中肠系膜缺血的发生、其临床表现、诊断挑战和严重程度的见解，对现有文献做出了重要贡献。此外，它对未来诊断和管理因溶血性贫血而行脾切除术的患者的长期肠系膜缺血具有重要意义。
