Document Detail

A case of acute superior mesenteric arterial occlusion with successful emergency simultaneous side-to-end anastomosis.
MedLine Citation:
PMID:  20530927     Owner:  NLM     Status:  MEDLINE    
A 72-year-old woman was transferred to our critical care center because of transient loss of consciousness and aphasia. She had a history of abdominal pain, nausea, and atrial fibrillation, and reported on admission mild abdominal rebound tenderness, inflammatory response, acidosis and renal dysfunction. We suspected acute superior mesenteric arterial occlusion (SMAO) after cerebral infarction. We performed simultaneous reconstruction with side-to-end anastomosis using circular and linear staplers, rather than jejunostomy, which avoided the loss of massive intestinal contents and frequent diarrhea. A detailed history is important to make a diagnosis of acute SMAO and simultaneous reconstruction with side-to-end anastomosis is an important treatment option.
Yoshihiro Moriwaki; Shinju Arata; Kazuhisa Takayama
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology     Volume:  107     ISSN:  0446-6586     ISO Abbreviation:  Nihon Shokakibyo Gakkai Zasshi     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-10     Completed Date:  2010-08-03     Revised Date:  2011-08-02    
Medline Journal Info:
Nlm Unique ID:  2984683R     Medline TA:  Nihon Shokakibyo Gakkai Zasshi     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  909-14     Citation Subset:  IM    
Critical Care and Emergency Center, Yokohama City University Medical Center, Japan.
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MeSH Terms
Acute Disease
Anastomosis, Surgical
Cerebral Infarction / complications
Intestine, Small / surgery
Mesenteric Arteries
Mesenteric Vascular Occlusion / surgery*

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