[Post traumatic entero-mesenteric venous infarct].
The paper presents a case of entero-mesenteric venous infarct, occurred in a man of 34 years, discovered intraoperator, when to intervene surgically in emergency surgery for acute abdomen of peritonitic type. The etiology of this venous infarct was posttraumatic, the patient underwent an abdominal aggression with seven days prior to onset of symptoms. In literature, the posttraumatic etiology is found in a small number compared to the large number of abdominal contusion, intimal lesional factor beeing associated with blood thickness. Paraclinical investigations were not significant in terms of preoperator diagnosis, surgical intervention (backward and forward thrombectomy of superior mesenteric vein with Fogarty probe and venosuture) having a favorable evolution. This intervention is practiced as an exception on the basis of the idea that venous thrombosis spreads to mezenteric vein and its collaterals followed by extensive arterial thrombosis and total compromise of intestinal viability.
Truş
C
C
Clinica chirurgie I, Spitalul Clinic Judeţean de Urgenţă Sf. Apostol Andrei, Galaţi.
Munteanu
M
M
Diaconu
G
G
Beznea
A
A
Pop
A
A
D000006:Abdomen, Acute / Q000209:etiology; D000007:Abdominal Injuries / Q000150:complications / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D000328:Adult; D006801:Humans; D033162:Incidental Findings; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D008642:Mesenteric Veins / Q000473:pathology; D017131:Thrombectomy; D016896:Treatment Outcome; D014654:Vascular Patency; D014656:Vascular Surgical Procedures; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*