Revista chilena de cirugía
versión On-line ISSN 0718-4026
CERONI V, MARCO et al. Chronic mesenteric ischemia: Report of two cases. Rev Chil Cir [online]. 2011, vol.63, n.1, pp.81-86. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262011000100015.
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.
Palabras clave : Mesenteric ischemia; doppler ultrasound; angiography.