Mesenteric ischemia: A case report highlighting the importance of early detection and intervention

Meriem Gridda, Mohamed Benlahsen, Mohamed Annejar, Meriem Ainane, Mohamed Absi
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Abstract

This case report emphasizes the importance of early detection and intervention in mesenteric ischemia. We present a 42-year-old patient with a history of splenectomy who presented with hemodynamic instability, severe epigastric pain, vomiting, and no bowel movement or gas for three days, along with an unspecified fever. Laboratory tests showed abnormal values, and an abdominal CT scan revealed dysmorphic liver, portal cavernoma, peritoneal effusion, and superior mesenteric vein thrombosis. Surgical intervention was necessary, and the patient underwent exploratory laparotomy, which revealed necrosis of the small intestine that was resected. The patient experienced complications such as pulmonary embolism, and a second surgery was performed, but it was negative. The patient was discharged with follow-up care in the internal medicine department.This case report highlights the importance of recognizing the signs and symptoms of mesenteric ischemia and prompt intervention to improve patient outcomes.
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肠系膜缺血:一例报告强调早期发现和干预的重要性
本病例报告强调了早期发现和干预肠系膜缺血的重要性。我们报告一名42岁的脾切除术病史患者,其表现为血流动力学不稳定,严重上腹疼痛,呕吐,三天无肠蠕动或气体,并伴有不明原因的发烧。实验室检查显示异常值,腹部CT扫描显示肝脏畸形、门静脉海绵瘤、腹膜积液和肠系膜上静脉血栓形成。手术干预是必要的,患者进行了剖腹探查,发现小肠坏死并切除。患者出现了肺栓塞等并发症,并进行了第二次手术,但结果为阴性。患者在内科随访后出院。本病例报告强调了识别肠系膜缺血的体征和症状以及及时干预以改善患者预后的重要性。
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