title: [A case of superior mesenteric artery occlusion with ischemic enteritis after transcatheter therapy].
abstract: An 84-year-old female was admitted with sudden-onset upper abdominal pain. Contrast-enhanced computed tomography (CECT) revealed complete occlusion of the superior mesenteric artery (SMA). After transcatheter infusion of urokinase, embolic occlusion resolved. However, the pain recurred when she started eating. CECT revealed a lesion with thickening of the intestinal wall; therefore, laparoscopy-assisted surgery was undertaken. Histological examination yielded a definitive diagnosis of ischemic enteritis caused by SMA occlusion. Rapid diagnosis and treatment are important in SMA occlusion, and careful observation of the clinical course is recommended after transcatheter therapy.
authors.affiliation: Department of Gastroenterology and Hepatology, Otsu Municipal Hospital.
authors.forename: Naoto
authors.initials: N
authors.lastname: Iwai
authors.forename: Shiro
authors.initials: S
authors.lastname: Takami
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Morita
authors.forename: Kota
authors.initials: K
authors.lastname: Fujii
authors.forename: Ryusuke
authors.initials: R
authors.lastname: Takada
authors.forename: Hiroki
authors.initials: H
authors.lastname: Takaya
authors.forename: Akira
authors.initials: A
authors.lastname: Masuzawa
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Matsumoto
authors.forename: Naoki
authors.initials: N
authors.lastname: Wakabayashi
authors.forename: Keisho
authors.initials: K
authors.lastname: Kataoka
mesh_terms: D000369:Aged, 80 and over; D002404:Catheterization; D004751:Enteritis / Q000209:etiology*; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000150:complications* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage
chemical_list: D014568:Urokinase-Type Plasminogen Activator