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- W2318643918 abstract "We describe a case in a 67-year-old male who underwent laparotomy under a preoperative diagnosis of ileus and could save his life by excision of a thrombus and partial resection of small intestine. The patient had been being treated for atrial fibrillation and hypertension for these 3 years. Beginning from 10 days before visiting our department for the present disease, he experienced nausea and abdominal pain, which gradually became worse. Examination revealed the abdomen to be flat and soft, accompanying with no tenderness and muscular defense. On the following day, bloody stool appeared, abdominal X-rays revealed sharp fluid levels, and muscular defense was seen. Thus, 46 hours after hospitalization, operation was performed. About 50cm of the small intestine was necrotic, the entire small intestine was pale and showed no peristalsis, and the root of the superior mesenteric artery had been occluded with a thrombus. The thrombus was removed with a Fogarty catheter, which resulted in an immediate improvement in color and peristalsia of the small intestine. Thus, only the necrotic region of the small intestine was resected. On the postoperative day 40, gastrectomy was performed for early gastric cancer. Postoperative clinical course was uneventful, and the patient is closely followed on ambulant basis." @default.
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- W2318643918 date "1990-01-01" @default.
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- W2318643918 title "A CASE OF VASCULAR RECONSTRUCTION FOR OCCLUSION OF SUPERIOR MESENTERIC ARTERY" @default.
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- W2318643918 doi "https://doi.org/10.3919/ringe1963.51.2225" @default.
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