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Transileocolic endovascular treatment by a hybrid approach for severe acute portal vein thrombosis with bowel necrosis:Two case reports

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World Journal of Clinical Cases 2022年第6期10卷 1876-1882页

作者： Sayaka Shirai Tatsuo Ueda Fumie Sugihara Daisuke Yasui Hidemasa Saito Hiroyasu Furuki Shiei Kim Hiroshi Yoshida Shoji Yokobori Hiromitsu Hayashi Shin-ichiro Kumita Department of Radiology Nippon Medical School HospitalBunkyo-ku 113-8603TokyoJapan Department of Radiology Nippon Medical School Musashi Kosugi HospitalKawasaki-shi 211-8533KanagawaJapan Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery Nippon Medical School Tamanagayama HospitalTama-shi 206-8512TokyoJapan Department of Emergency and Critical Care Medicine Nippon Medical School HospitalBunkyo-ku 113-8603TokyoJapan Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery Nippon Medical School HospitalBunkyo-ku 113-8603TokyoJapan

BACKGROUND Acute portal vein thrombosis(PVT)with bowel necrosis is a fatal condition with a 50%-75%mortality *** report describes the successful endovascular treatment(EVT)of two patients with severe *** SUMMARY The first patient was a 22-year-old man who presented with abdominal pain lasting 3 *** second patient was a 48-year-old man who presented with acute abdominal *** contrast-enhanced computed tomography,both patients were diagnosed with massive PVT extending to the splenic and superior mesenteric *** treatment(simultaneous necrotic bowel resection and EVT)was performed in a hybrid operating room(OR).EVTs,including aspiration thrombectomy,catheter-directed thrombolysis(CDT),and continuous CDT,were performed via the ileocolic vein under *** portal veins were patent 4 and 6 mo posttreatment in the 22-year-old and 48-year-old patients,*** Hybrid necrotic bowel resection and transileocolic EVT performed in a hybrid OR is effective and safe.

关键词： bowel necrosis Endovascular treatment Hybrid operating room Hybrid treatment Portal vein thrombosis Transileocolic approach Case report

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Sequential bowel necrosis and large gastric ulcer in a patient with a ruptured femoral artery:A case report

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World Journal of Gastrointestinal Surgery 2024年第7期16卷 2337-2342页

作者： Peng Wang Ting-Gang Wang An-Yong Yu Department of Emergency The Affiliated Hospital of Zunyi Medical UniversityZunyi 563000Guizhou ProvinceChina

BACKGROUND Severe bleeding as a result of a major vascular injury is a potentially fatal event commonly observed in the emergency *** necrosis and gastric ulcers secondary to ischemia are rare due to their rich blood *** this case,we present the case of a patient who was treated successfully following rupture of his femoral artery resulting in bowel necrosis and an unusually large gastric *** SUMMARY A 28-year-old male patient sustained a knife stab wound to the right thigh,causing rupture of his femoral artery and leading to massive *** underwent cardiopulmonary resuscitation and received a large blood *** surgeries confirmed bowel necrosis,and jejunostomy was *** necrotic intestine was removed,the remaining intestine was anastomosed,and the right thigh was *** three surgeries,the patient's overall condition gradually improved,and the patient was discharged from the ***,one day after discharge,the patient was admitted again due to dizziness and melena,and a gastroduodenoscopy revealed a giant banded *** 2 weeks of treatment,the ulcer had decreased in size without *** months after the last surgery,enterostomy and reintroduction surgery were *** patient was fitted with a right lower limb prosthesis one year after *** 3 years of follow-up,the patient did not complain of *** Trauma department physicians need to be aware of the possible serious complications involving the abdomen of trauma patients with massive bleeding.

关键词： bowel necrosis Gastric ulcer Trauma Femoral artery rupture Ischemia Case report

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Portal vein gas combined with pneumatosis intestinalis and emphysematous cystitis:A case report and literature review

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World Journal of Clinical Cases 2022年第25期10卷 8945-8953页

作者： Shi-Fu Hu Han-Bo Liu Yuan-Yuan Hao Department of General Surgery Tianjin Xiqing HospitalTianjin 300100China Department of Geriatrics Tianjin Xiqing HospitalTianjin 300100China

BACKGROUND Portal venous gas(PVG)is a rare clinical condition usually indicative of severe disorders,including necrotizing enterocolitis,bowel ischemia,or bowel wall rupture/*** intestinalis(PI)is a rare illness characterized by an infiltration of gas into the intestinal *** cystitis(EC)is relatively rare and characterized by intramural and/or intraluminal bladder gas best depicted by cross-sectional *** study reports a rare case coexistence of PVG presenting with PI and *** SUMMARY An 86-year-old woman was admitted to the emergency room due to the progressive aggravation of pain because of abdominal fullness and distention,complicated with vomiting and stopping defecation for 4 *** abdominal computed tomography(CT)plain scan indicated intestinal obstruction with ischemia changes,gas in the portal vein,left renal artery,superior mesenteric artery,superior mesenteric vein,some branch vessels,and bladder pneumatosis with air-fluid *** surgery was conducted on the *** necrosis was found in the small intestine approximately 110 cm below the Treitz ligament and in the ileocecal junction and ascending colon *** included excision of the necrotic small intestine and right colon,fistulation of the proximal small intestine,and distal closure of the transverse ***,the patient displayed postoperative short bowel syndrome but had a good *** received intravenous fluid infusion and enteral nutrition maintenance every other day after discharge from the community *** Emergency surgery should be performed when CT shows signs of PVG with PI and EC along with a clinical situation strongly suggestive of bowel ischemia.

关键词： Portal vein gas Mesenteric ischemia Pneumatosis intestinalis Emphysematous cystitis bowel necrosis Case report

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Comprehensive analysis of sodium polystyrene sulfonate-induced colitis:A systematic review

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World Journal of Meta-Analysis 2023年第7期11卷 351-367页

作者： Gabriel Peixoto Aver Guilherme Ferreira Ribeiro Vinícius Remus Ballotin Francisco Souza dos Santos Lucas Goldmann Bigarella Floriano Riva Eduardo Brambilla Jonathan Soldera School of Medicine Universidade de Caxias do SulCaxias do Sul 95070-560Brazil Department of Pathology CPM Laboratório de PatologiaCaxias do Sul 95084-900RSBrazil Clinical Gastroenterology Universidade de Caxias do SulCaxias do Sul 95070-560RSBrazil Acute Medicine and Gastroenterology University of South WalesCardiff CF371DLUnited Kingdom

BACKGROUND Sodium polystyrene sulfonate(SPS)is commonly prescribed for the management of hyperkalemia,a critical electrolyte imbalance contributing to over 800000 annual visits to emergency *** To conduct a systematic review of documented cases of SPS-induced colitis and assess its associated *** Following the PRISMA-P guidelines,our study employed Medical Subject Headings and Health Sciences Descriptors,skillfully combined using Boolean operators,to conduct comprehensive searches across various electronic databases,including Scopus,Web of Science,MEDLINE(PubMed),BIREME(Biblioteca Regional de Medicina),LILACS(Latin American and Caribbean Health Sciences Literature),SciELO(Scientific Electronic Library Online),Embase,and *** criteria were confined to English,Spanish,and Portuguese,with no limitations on the publication ***,we manually scrutinized the reference lists of retrieved *** present our findings,we utilized simple descriptive *** Our search strategy yielded a total of 442 *** rigorous evaluation,we included 51 references,encompassing 59 documented cases of *** clinical presentations included abdominal pain,observed in 35(60.3%)cases,and bloating,reported in 18(31%)*** most frequently affected sites of inflammation were the cecum,rectum,and small intestine,accounting for 31%,25.8%,and 22.4%of cases,*** findings were described in 28(48.2%)cases,and 29(50%)of patients required surgical *** the subset of patients for whom outcome data was available,39(67.2%)experienced favorable outcomes,while 12(20.6%)unfortunately succumbed to the *** mean time required for resolution was 36.7 d,with a range spanning from 1 to 120 *** SPS demonstrates the capacity to effectively lower serum potassium levels within 24 ***,this benefit is not without the risk of bowel *** study highlights the absence of

关键词： Sodium polystyrene sulfonate Hyperkalemia Colitis bowel necrosis Kayexalate

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