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Báo cáo y học: "Splenic infarction complicating percutaneous transluminal coeliac artery stenting for chronic mesenteric ischaemia: a case report"

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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Splenic infarction complicating percutaneous transluminal coeliac artery stenting for chronic mesenteric ischaemia: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Splenic infarction complicating percutaneous transluminal coeliac artery stenting for chronic mesenteric ischaemia a case report John A Almeida and Stephen M Riordan Address Gastrointestinal and Liver Unit The Prince of Wales Hospital and University of New South Wales Barker Street Randwick 2031 New South Wales Australia Email John A Almeida - priyanair@ozemail.com.au Stephen M Riordan - sriordan@ozemail.com.au Corresponding author Published 6 August 2008 Received 2 October 2007 Journal of Medical Case Reports 2008 2 261 doi 10.1186 1752-1947-2-261 Accepted 6 August 2008 This article is available from http www.jmedicalcasereports.cOm content 2 1 261 2008 Almeida and Riordan licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Chronic mesenteric ischaemia is an important cause of abdominal pain especially in older patients with risk factors for vascular disease. Until recently surgical revascularization procedures such as endarterectomy and aorto-coeliac or aorto-mesenteric bypass grafting were the only available treatment options for patients with chronic mesenteric ischaemia. Percutaneous angioplasty and stenting have recently been shown to be effective and safe alternatives to surgical revascularization in high-risk patients with chronic mesenteric ischaemia. Case Presentation We report an 84-year-old woman with symptoms of chronic mesenteric ischaemia including post-prandial abdominal pain and weight loss. Investigations demonstrated calcific stenoses at the origins of the celiac superior mesenteric and inferior mesenteric arteries along with nonocclusive calcification in the mid-splenic artery. Coeliac artery angioplasty and stenting

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