title: [A Case of Acute Superior Mesenteric Artery Occlusion Rescued by Thrombus Aspiration without Bowel Resection].
abstract: Acute superior mesenteric artery (SMA) occlusion is rare and associated with high morbidity and mortality.One of the reasons is the difficulty to diagnose the disease soon after the abdominal pain initially occurs. A 79-year-old woman with atrial fibrillation was admitted because of progressive left abdominal pain and nausea. Two hours after the onset, computed tomography revealed an occlusion of the SMA. No signs of intestinal infarction were present. Abdominal angiography revealed complete obstruction from the distal portion of the SMA to the ileocolic artery, so we could have a diagnosis of SMA occlusion early. Continuous per-catheteric thrombus aspiration for the occlusion successfully removed the thrombus and led to complete revascularization laparotomy. We encountered a case of acute mesenteric ischemia due to SMA occlusion with atrial fibrillation. Early diagnosis is necessary to survive without bowel resection.
authors.affiliation: The Third Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Japan.
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Inamasu
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Asaumi
authors.forename: Tatsuyuki
authors.initials: T
authors.lastname: Watanabe
authors.forename: Keiichiro
authors.initials: K
authors.lastname: Kume
authors.forename: Ichiro
authors.initials: I
authors.lastname: Yoshikawa
authors.forename: Masaru
authors.initials: M
authors.lastname: Harada
mesh_terms: D000208:Acute Disease; D000368:Aged; D000792:Angiography / Q000379:methods; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000601:surgery*; D065666:Mesenteric Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008641:Mesenteric Vascular Occlusion / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D015642:Radiology, Interventional / Q000379:methods; D017131:Thrombectomy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome