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Erschienen in: Wiener Medizinische Wochenschrift 15-16/2012

01.08.2012 | original article

Acute mesenteric ischemia in young adults

verfasst von: Gurkan Ozturk, MD, Bulent Aydinli, MD, S. Selcuk Atamanalp, MD, M. Ilhan Yildirgan, MD, Bünyami Özoğul, MD, Abdullah Kısaoğlu, MD

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 15-16/2012

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Summary

Acute mesenteric ischemia is commonly seen in old patients. This study was undertaken to show that mesenteric ischemia might be seen in individuals under 40 years of age and that its diagnosis is challenging. Twenty-six patients with acute mesenteric ischemia under the age of 40 were studied. The main symptom on admission was abdominal pain. Symptom duration varied between 12 h and 5 days. The medical history of the patients revealed that 9 had no previous diseases. Other 17 had predisposing factors in the first evaluation. None of the patients had any history of narcotic or drug abuse. Ten patients presented with signs and symptoms of sepsis and septic shock. Preoperative diagnosis was acute intestinal ischemia only in 6 patients. Preoperatively, all the patients had intestinal or colonic ischemia and necrosis; one had additional ischemia of the liver, stomach, duodenum, and pancreas. Six patients had massive intestinal necrosis. The overall postoperative complication and overall mortality rates were 61.5 and 26.9 %, respectively. Complications and mortality were determined to be associated with previous pulmonary disease, acidosis, presence of septic shock, acute renal failure, extent of the ischemia and extent of resection, second look operations, previous cardiac events, and the kind of affected bowel (colon involvement).
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Metadaten
Titel
Acute mesenteric ischemia in young adults
verfasst von
Gurkan Ozturk, MD
Bulent Aydinli, MD
S. Selcuk Atamanalp, MD
M. Ilhan Yildirgan, MD
Bünyami Özoğul, MD
Abdullah Kısaoğlu, MD
Publikationsdatum
01.08.2012
Verlag
Springer-Verlag
Erschienen in
Wiener Medizinische Wochenschrift / Ausgabe 15-16/2012
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI
https://doi.org/10.1007/s10354-012-0120-1

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