Nonocclusive acute mesenteric ischemia

• Published in: Chirurgia (Bucharest, Romania : 1990) Vol. 103; no. 3; pp. 337 - 343
• Main Authors: Vasile, I, Meşină, C, Paşalega, M, Calotă, F, Vâlcea, I D
• Format: Journal Article
• Language: Romanian
• Published: Romania 01.05.2008
• Subjects: Acute Disease; Aged; Humans; Ischemia - diagnosis; Ischemia - surgery; Male; Mesenteric Vascular Occlusion - diagnosis; Mesenteric Vascular Occlusion - surgery; Mesentery - blood supply; Treatment Outcome
• ISSN: 1221-9118

The authors present one case of acute mesenteric ischemia appeared to the patient 70 years old, with HTA and coronary heart disease with heart arrhythmia treated with angiotensin-converting-enzyme inhibitor, anti arrhythmia agents and antithrombin therapy (trombostop). Acute mesenteric ischemia is not an isolated clinical entity, but a complex of diseases, including acute mesenteric arterial embolus and thrombus, mesenteric venous thrombus and nonocclusive mesenteric ischemia. These diseases have common clinical features caused by impaired blood perfusion of the intestine, bacterial translocation and systemic inflammatory response syndrome. Reperfusion injury is another important feature of nonocclusive mesenteric ischemia. We discuss about the nonocclusive mesenteric ischemia is the most lethal form of acute mesenteric ischemia because of the poor understanding of its pathophysiology and its nonspecific symptoms, which often delay its diagnosis. Although acute mesenteric ischemia is still lethal and in-hospital mortality rates have remained high over the last few decades, accumulated knowledge on this condition is expected to improve its prognosis.