Isquemia mesentérica crónica, tratamiento quirúrgico. Reporte de dos casosReportar como inadecuado




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Resumen

Chronic mesenteric ischemia is uncommon and often not recognized by clinicians. We report two patients with the disease. A 61 years old female with a two years history of abdominal pain, diarrhea, anorexia and weight loss. A mesenteric arteriography showed a critical stenosis of the celiac artery. The patient was operated and a retrograde bypass from the iliac to the mesenteric artery was placed. Digestive symptoms ceased and the patient gained weight. A 49 years old smoker female, with a two years history of abdominal pain and weight loss, without diarrhea. A doppler ultrasonography of abdominal arteries showed a critical stenosis of the celiac artery. The angiography confirmed the stenosis and disclosed also a complete occlusion of the common hepatic artery. The patient was operated placing anterograde aortic-mesenteric and aortic- hepatic bypasses. During the follow up, the patient is in good conditions.Nota general

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Autor: Ceroni V., Marco; - Barrera Escobar, Alejandro; - Wallach W., Daniel; - Uribe L., Juan Pablo; - Carreño O., Pablo; - Bannura Cum

Fuente: http://repositorio.uchile.cl/



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