Sumner D S
Am Surg. 1977 Nov;43(11):743-50.
Two cases of bowel infarction following abdominal aortography are presented. In both patients, two of the three major arteries supplying the bowel were occluded before the study. The superior mesenteric artery in one and the inferior mesenteric artery in the other were the only arteries supplying the bowel and their lumens were reduced. After the aortogram, the residual lumen clotted, leading to bowel necrosis. Survival was made possible in these two cases by revascularizing the superior mesenteric artery and resecting the necrotic bowel.
本文报告了两例腹主动脉造影术后发生肠梗死的病例。在这两名患者中,研究前供应肠道的三条主要动脉中有两条已闭塞。其中一名患者的肠系膜上动脉,另一名患者的肠系膜下动脉是供应肠道的唯一动脉,且其管腔变窄。主动脉造影术后,残余管腔形成血栓,导致肠坏死。通过肠系膜上动脉血管重建和切除坏死肠段,这两名患者得以存活。