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Published in: Surgery Today 8/2014

Open Access 01-08-2014 | Case Report

Duodenal ulcer penetration into the superior mesenteric artery after percutaneous transluminal angioplasty and stent placement for acute mesenteric ischemia: report of a case

Authors: Akira Ouchi, Masatoshi Isogai, Toru Harada, Yuji Kaneoka, Keitaro Kamei, Atsuyuki Maeda

Published in: Surgery Today | Issue 8/2014

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Abstract

A 78-year-old male presented with the chief complaints of abdominal pain and vomiting. Contrast-enhanced computed tomography and abdominal angiography showed occlusion of the superior mesenteric artery due to thrombosis, and emergency percutaneous transluminal angioplasty and stent placement were carried out. Two months later, stent thrombosis developed, and a second stent was placed. Eight months later, he complained of general fatigue and anorexia. Gastrointestinal endoscopy revealed a duodenal ulcer at the third portion close to the superior mesenteric artery. Thirteen days after conservative management, duodenal ulcer penetration into the superior mesenteric artery with subsequent air embolism developed, and the patient died of multiple organ failure.
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Metadata
Title
Duodenal ulcer penetration into the superior mesenteric artery after percutaneous transluminal angioplasty and stent placement for acute mesenteric ischemia: report of a case
Authors
Akira Ouchi
Masatoshi Isogai
Toru Harada
Yuji Kaneoka
Keitaro Kamei
Atsuyuki Maeda
Publication date
01-08-2014
Publisher
Springer Japan
Published in
Surgery Today / Issue 8/2014
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-013-0557-x

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