Successful surgical treatment of a patient with acute segmental mesenteric ischemia in the system of the superior and inferior mesenteric arteries

Andreev I.S., Shestakov E.V., Katorkin S.E., Nikolaev M.M., Lisin O.E., Arustamyan A.V.

Acute violation of mesenteric blood circulation is a serious disease that develops as a result of a violation of both arterial and venous blood flow and it is accompanied by high mortality. The absence of specific symptoms and syndromes of mesenteric ischemia, the variety of causes of development, the difficulties of early diagnosis significantly complicate the treatment of this disease. This article presents a clinical observation of successful surgical treatment of a patient with acute segmental mesenteric thrombosis in the system of the superior and inferior mesenteric arteries. In case of this pathology, emergency surgical intervention is indicated, the purpose of which is to revise the intestine with an assessment of its viability, revise the main mesenteric vessels, eliminate the cause of vascular obstruction and restore mesenteric blood flow, resection of necrotic sections of the intestine, and prevent peritonitis.

This observation indicates that a thorough examination and additional examination of patients is needed to identify infrequent but dangerous pathology. It should be noted that often only diagnostic laparoscopy or laparotomy will help to make a final diagnosis. Despite the difficulty in establishing the diagnosis and taking into account the frequent segmental lesion of the system of the superior and inferior mesenteric arteries, performing several surgical procedures with the formation of surgical stomas should not frighten the surgeon, as it allows to save a large effective length of the intestine. Their subsequent closure allows the patient to recover and maintain a satisfactory quality of life.

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