[Value of preoperative diagnosis in mesenteric vascular occlusion. A prospective study].
In a prospective study the value of preoperative diagnostics in acute mesenteric vascular occlusion was investigated in 46 patients. Seventeen patients had an arterial thrombosis, 17 a venous thrombosis, 10 had an emboli and 2 patients suffered from a non-occlusive mesenteric infarction. All patients had leucocytosis with an average of 21,000/nl; serum lactate was increased in 91.4% and phosphate was increased in 36.4%. In 82.6% of the cases loops of the small bowel were seen on the X-ray of the abdomen, but in none of the patients an acute mesenteric vascular occlusion was suspected based on the X-ray alone. In 5 of the 46 cases the occlusion could be seen sonographically. The angiography had a sensitivity of 77%.
Böttger
T
T
Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes Gutenberg-Universität, Mainz.
Schäfer
W
W
Weber
W
W
Junginger
T
T
D000006:Abdomen, Acute / Q000601:surgery; D000368:Aged; D000792:Angiography; D004617:Embolism / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007238:Infarction / Q000601:surgery*; D008297:Male; D008638:Mesenteric Arteries / Q000473:pathology / Q000601:surgery*; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis / Q000601:surgery*; D008642:Mesenteric Veins / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D011446:Prospective Studies; D013927:Thrombosis / Q000175:diagnosis / Q000601:surgery*; D014463:Ultrasonography
Wertigkeit der präoperativen Diagnostik beim Mesenterialgefässverschluss. Eine prospektive Studie.