Resumo

FERNANDEZ SANZ, Pedro Lázaro et al. Acute mesenteric ischemia caused by vascular occlusion diagnosis and treatment. ccm [online]. 2018, vol.22, n.3, pp. 514-529. ISSN 1560-4381.

Vascular occlusion has become the main cause of acute mesenteric ischemia. It has a difficult diagnose and high incidence worldwide and it is closely related to population aging. Spanish and English articles were bibliographically reviewed, using DeCS and MeSH descriptors, at Infomed databases, with several therapeutic options for appropriate diagnose, and treatment. Abdominal pain is the most common clinical manifestation. Imaging studies, angiography and multislice computed tomography with venous contrast, are specific complementary tests for an accurate diagnosis. Treatment depends on patient's condition and specialists’ available resources.  Anticoagulation, endovascular thrombectomy or embolectomy, open surgery and intestinal resection if necrosis, are the most effective.

Palavras-chave : acute mesenteric ischemia; mesenteric vascular occlusion; angiography; thrombectomy; thrombolysis.

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