Acute doorbloedingsstoornissen van de darm: Een soepele buik kan toch acuut zijn

Translated title of the contribution: Acute disorders in intestinal perfusion: A nonrigid abdomen may still be acute

L. A. Van der Waaij*, A. J.A.M. Van der Ven, P. J.G. Jorning, G. F. Nelis, R. H. Geelkerken

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)
91 Downloads (Pure)

Abstract

Three patients, a man aged 50 years and two women aged 46 and 45 years, with abdominal pains and a undistended abdomen, were found to have acute mesenteric ischaemia. The causes were: unknown, a thrombus in the descending aorta and severe atherosclerosis, respectively. In the male patient, only 30 cm of vital small intestine ultimately remained; in one woman embolectomy sufficed, in the other, resection of a limited portion of the jejunal tract. All three patients fully recovered. Acute mesenteric ischaemia is a potentially lethal disease. Diagnosis in the first reversible phase makes full recovery of the intestine possible. This may be difficult since the clinical signs and symptoms are not specific in this phase and invasive diagnostic procedures (angiography) are required for accurate diagnosis. By making an angiogram of the mesenteric vessels in each patient with severe abdominal pain, no signs of peritonitis and leukocytosis, without another diagnosis, reversible mesenteric ischaemia can be diagnosed and a vascular surgical reconstruction can be planned.

Translated title of the contributionAcute disorders in intestinal perfusion: A nonrigid abdomen may still be acute
Original languageDutch
Pages (from-to)2609-2613
Number of pages5
JournalNederlands tijdschrift voor geneeskunde
Volume142
Issue number48
Publication statusPublished - 28 Nov 1998
Externally publishedYes

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