Journal of surgical case reports · 2019
A case of pancreatic cancer invading the superior mesenteric artery causing extensive intestinal necrosis that was successfully treated by surgery.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Nitta Nobuhito, Yamamoto Yusuke, Sugiura Teiichi, Okamura Yukiyasu, Ito Takaaki, Ashida Ryo, Ohgi Katsuhisa, Uesaka Katsuhiko
Аннотация
INTRODUCTION: Pancreatic cancer often invades major arteries. However, there are few reports about extensive bowl necrosis caused by superior mesenteric artery (SMA) occlusion associated with pancreatic cancer invasion.
CASE REPORT: A 73-year-old woman who was receiving chemotherapy for locally advanced pancreatic cancer (LAPC) was referred to our hospital for abdominal swelling and vomiting that had persisted for 2 days. Contrast-enhanced computed tomography revealed occlusion of the SMA by pancreatic cancer, which had invaded the whole circumference of the SMA. On emergency laparotomy, a large amount of necrotic and ischemic intestine was resected, preserving approximately 100 cm of the ileum. Gastroileostomy was also performed. She had an uneventful postoperative course.
CONCLUSIONS: Surgical treatment is a good option for acute SMA occlusion due to invasion by LAPC.
CASE REPORT: A 73-year-old woman who was receiving chemotherapy for locally advanced pancreatic cancer (LAPC) was referred to our hospital for abdominal swelling and vomiting that had persisted for 2 days. Contrast-enhanced computed tomography revealed occlusion of the SMA by pancreatic cancer, which had invaded the whole circumference of the SMA. On emergency laparotomy, a large amount of necrotic and ischemic intestine was resected, preserving approximately 100 cm of the ileum. Gastroileostomy was also performed. She had an uneventful postoperative course.
CONCLUSIONS: Surgical treatment is a good option for acute SMA occlusion due to invasion by LAPC.