[Sensitivity of preoperative diagnosis in mesenteric vascular occlusion].
In a consecutive series the sensitivity of the preoperative diagnostic in acute mesenteric vascular occlusion was investigated prosprectively in 62 patients. 22 patients had an arterial thrombosis, 20 patients a venous thrombosis, 13 patients had an embolism, six patients a non-occlusive disease and one patient suffered from a dissection of the aorta. All but three patients (95.2%) had a leukocytosis with an average of 18,700/nl. The serum lactate was increased in 88.7% of the patients. The percutaneous ultrasonography was without any pathological findings in 45% of the patients. The x-ray of the abdomen shows signs of an ileus in more than half of the patients. The angiography had a sensitivity of 74%.
Böttger
T
T
Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes Gutenberg-Universität Mainz.
Jonas
J
J
Weber
W
W
Junginger
T
T
D000368:Aged; D004617:Embolism / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D005260:Female; D006801:Humans; D007422:Intestines / Q000098:blood supply; D007511:Ischemia / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D008297:Male; D008638:Mesenteric Arteries / Q000601:surgery; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery; D008642:Mesenteric Veins / Q000601:surgery; D011183:Postoperative Complications / Q000401:mortality; D013927:Thrombosis / Q000175:diagnosis / Q000401:mortality / Q000601:surgery
Sensitivität der präoperativen Diagnostik beim Mesenterialgefässverschluss.