Zechini F, Reale R, Sorgi G, Gucciardo G, Panucci A
Int Surg. 1980 May-Jun;65(3):275-7.
A case of successful superior mesenteric artery embolectomy with bowel resection is reported. Superior mesenteric artery embolization must be strongly suspected in a patient with atrial fibrillation, presenting sudden abdominal pain and an unremarkable examination. Extensive use of abdominal angiography is strongly recommended, since successful results depend on early diagnosis. This "second look" procedure may be limited, on the basis of careful clinical observation. Should any doubt persist regarding bowel viability, a duodenoenteric anastomosis is recommended.
报告了一例成功进行肠系膜上动脉栓子切除术并肠切除的病例。对于患有心房颤动、突发腹痛且体格检查无明显异常的患者，必须高度怀疑肠系膜上动脉栓塞。强烈建议广泛应用腹部血管造影，因为成功的结果取决于早期诊断。基于仔细的临床观察，这种“二次探查”手术可能会受到限制。如果对肠管活力仍有任何疑问，建议进行十二指肠肠吻合术。
