Article: Mesenteric and myocardial ischemia revealing lower limb sarcoma.
International journal of surgery case reports
2021 Volume 89, Page(s) 106616
Abstract: Introduction and importance: Although most of the causes of acute superior mesenteric artery (SMA) embolism with a poor clinical course originate from the heart, we report a case of SMA embolism secondary to advanced sarcoma of the lower extremities.: ...
Abstract | Introduction and importance: Although most of the causes of acute superior mesenteric artery (SMA) embolism with a poor clinical course originate from the heart, we report a case of SMA embolism secondary to advanced sarcoma of the lower extremities. Case presentation: A 66-year-old man presented with chest and epigastric discomfort that lasted for 1 day. Coronary angioplasty was performed, followed by laparotomy with an embolectomy of the SMA, small bowel resection, and ileostomy. After surgery, leiomyosarcoma was diagnosed on a biopsy performed in the left thigh, and lung metastasis was confirmed. He had recurrent peritonitis for 2 months and died of multiple organ failure. Clinical discussion: The common etiologies of SMA embolism include cardioembolic sources with atrial fibrillation and recent myocardial infarction. Rare etiologies include atherosclerotic plaque, mural thrombus of the aneurysm, and cardiac sarcoma. Conclusion: Efforts are required for the systemic evaluation of various etiologies in patients with SMA embolism who require rapid diagnosis and intervention. |
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Language | English |
Publishing date | 2021-11-25 |
Publishing country | Netherlands |
Document type | Journal Article |
ISSN | 2210-2612 |
ISSN | 2210-2612 |
DOI | 10.1016/j.ijscr.2021.106616 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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