Omran Safwan, Greiner Andreas
Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of Vascular Surgery, Hindenburgdamm 30, 12203 Berlin, Germany.
J Surg Case Rep. 2023 Dec 16;2023(12):rjad671. doi: 10.1093/jscr/rjad671. eCollection 2023 Dec.
Ischemic hepatitis due to mesenteric artery occlusion is extremely rare. This is due to the function of the collateral network of the celiac-mesenteric arterial system and portal venous flow. A 64-year-old male presented with abdominal pain, a significantly reduced general condition, a weight loss of 20 kg in 4 months. Computed tomography showed occlusion of the celiac trunk and the superior mesenteric artery and hypodense lesions in the liver. We performed an antegrade visceral reconstruction with a bifurcated 12-6 mm Dacron graft from the supra-celiac aortic donor to the superior mesenteric and celiac arteries. The postoperative course and follow-up were uneventful.
肠系膜动脉闭塞所致的缺血性肝炎极为罕见。这归因于腹腔 - 肠系膜动脉系统的侧支网络功能以及门静脉血流。一名64岁男性出现腹痛、全身状况显著下降，4个月内体重减轻20千克。计算机断层扫描显示腹腔干和肠系膜上动脉闭塞以及肝脏低密度病变。我们使用一根12 - 6毫米分叉涤纶移植物，从腹腔上主动脉供体至肠系膜上动脉和腹腔干进行了顺行性内脏重建。术后病程及随访情况均顺利。
