A CASE OF ACUTE MESENTERIC ARTERY ISCHEMIA INDUCED BY ALCOHOLISM

Year 2018, , 86 - 90, 01.08.2018

Ayşe Özdemir , Dalyan Özdemir

https://doi.org/10.23884/ijhsrp.2018.3.2.06

Abstract

Acute Mesenteric Ischemia, known as one of the vascular diseases of the
intestine, is one of the significant causes of acute abdominal pain that is not
considered initially but has a high mortality rate [50-70%] in acute abdominal
cases.
A 55-year-old male patient was presented to the emergency room of our hospital
with abdominal pain starting at night and was admitted to the surgery service.
His radiological examination results were normal, however, widespread
gangrenous areas were detected in terminal ileum during the surgery. Necrotic
bowel segment was resected. Accompanying pathological conditions were not
detected in etiology of the patient. However, the patient had been using
alcohol regularly for 20 years, which was an interesting characteristic of the
patient. 

Keywords

Mesenteric artery, ischemia, alcoholl

References

• 1. Acosta,S. Epidemiology of mesenteric vascular disease: clinical implications. Semin Vascular Surgery, (2010); 23: 4–8.
• 2. Acosta,S.,Torbjorn N. Current status on plasma biomarkers for acute mesenteric ischemia. J Thromb Thrombolysis,( 2012); 33:355–61.
• 3. Kurtoğlu, M.,Yanar, H. Akut Mezenterik İskemi. Turkiye Klinikleri Journal of Surgical Medical Sciences,( 2005);1[4]:17-23.
• 4. Çağlayan, K.,Güngör,B., Polat,C., Çınar, H., Erzurumlu, K. Akut Mezenter İskemi Olgularının Özellikleri ve Mortaliteyi Etkileyen Risk Faktörleri. Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi, ( 2011); 25[1]: 039-42.
• 5. Dobrucalı A. Barsağın Vasküler Hastalıkları, http://www.drahmetdobrucali.com/hastaliklar/ bagirsaklarin-damarsal-vaskuler-hastaliklari/ 29.06.2016.
• 6. Karaca, Y., et al., Diagnostic Value of Procalcitonin Levels in Acute Mesenteric Ischemia. Trakya University Faculty of Medicine Balkan Medical Journal ,(2015), 32[3]:291-95.
• 7. Hatipoğlu, A.R,, Koyutürk, İ., Ahsen, M., Hoşcoşkun, Z. Mezenter Arter İskemisinde Serum İnorganik Fosfor ve Kreatinin Kinaz Değişimleri, Turkısh Journal of Surgery,(1999), 15[6]: 348-55.
• 8. Padilla, N.B.,et al., C-reactive protein and natural IgM antibodies are activators of complement in a rat model of intestinal ischemia and reperfusion. Surgery,(2007), 142[5]:722-33.
• 9. Baykan, M., Gündoğan, K., Akyıldız, H.Y., Yurci, M.A. Nadir bir akut mezenterik iskemi sebebi: JAK 2 pozitifliği ve kronik aktif B hepatiti beraberliği. Ulusal Cerrahi Dergisi,(2014), 30/1: 48-50.
• 10. Aslan, A., et al., Akut Mezenter İskemi; Klinik Deneyimlerimiz Acute Mesenteric Ischemia: Clinical Experience. Acil Tıp Dergisi JAEM,(2009), 8[4 ]: 28-32.
• 11. Yang, B., Quan, X.Y., Yu, Z.J., Yang, J.C., Long, Q.J. Establishment of canine models of acute mesenteric ischamia. Di Yi Jun Yi Da Xue Xue Bao,(2004), 24[6]:703-5.
• 12. Köksal, A.S., Usküdar,O., Köklü, S., Yüksel O, Beyazit,.Y, Sahin, B. Propranolol exacerbated mesenteric ischemia in a patient with hyperthyroidism. Ann Pharmacother,(2005), 39[3]:559-62.
• 13. Lee, J.H., Noh, G.T., Lee, R.A. Extensive bowel ischemia with heavy alcohol consumption: report of a case. J Korean Soc Coloproctol,(2012), 28[1]:61-5.
• 14. Wang, T.Y., Lin, J.C., Ting,L.K. Acute mesenteric ischaemia in patients with chronic alcoholism. Hong Kong Journal of Emergency Medicine , (2017), 24 (4 ).
• 15. G. Stine ,J.,et all., Increased risk of venous thromboembolism in hospitalized patients with cirrhosis due to non-alcoholic steatohepatitis. Clinical and Translational Gastroenterology, (2018), 9(140). doi:10.1038/s41424-018-0002-y.