Acute aortic dissection causing gastroduodenal and hepatic infarction

Jutaghokiat, Sukprasert; Angsuwatcharakon, Phonthep; Imraporn, Boonlert; Ongcharit, Pat; Udomsawaengsup, Suthep; Rerknimitr, Rungsun

doi:10.1055/s-0029-1214486

Cited by 4 publications

(5 citation statements)

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“…Mortality reaches high rates (70-90%), specifically because of the failure in early diagnose and treatment (5)(6). In clinical practice, infrequency of ischemic intestinal disease caused by acute aortic dissection and lack of significant signs in the early phases of the disease may lead to delayed accurate diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Extensive Intestinal Ischemia After Acute Aortic Dissection

et al. 2013

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Section: Discussionmentioning

confidence: 99%

Extensive Intestinal Ischemia After Acute Aortic Dissection

et al. 2013

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“…GD ischemia has been reported sparsely in acute aortic dissection (13), aortic coarctation (in newborn) (14), acute pancreatitis with pancreatic pseudocyst, hernia (hiatal, paraesophageal and diaphragmatic hernia) (15), small bowel obstruction (16), massive gastric dilatation (17), post endoscopic submucosal dissection of early gastric cancer (18), post laparoscopic fundoplication (19), postoperative conditions (distal pancreatectomy with celiac axis resection, subtotal gastrectomy, highly selective vagotomy, splenectomy, gastric restrictive procedure using staplers, esophageal surgery) (20, 21) and cocaine abuse (22). …”

Section: Introductionmentioning

confidence: 99%

The significance of gastric and duodenal histological ischemia reported on endoscopic biopsy

J¹,

Chavalitdhamrong²,

Jensen³

et al. 2011

Endoscopy

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It is unknown whether pathological reports of ischemia obtained from gastroduodenal biopsy suggests a diagnosis, prognosis or requires additional evaluation. The aim of this study was to review the natural history, clinical presentation, endoscopic appearance, treatments and major clinical outcomes of patients with gastroduodenal ischemia. Case series of fourteen patients with variable etiologies, seven patients with gastric and seven patients with duodenal origin were obtained from a search of our endoscopic pathologic database for reports of histological ischemia. The most common indication for upper endoscopy was upper gastrointestinal bleeding (71%). Half of the endoscopic lesions appeared very severe. There were six cases of rebleeding (43%) and four deaths (29%). CT scanning was frequently used (12 cases, 86%), but was diagnostic in only three cases. Patients with underlying vascular pathology have substantial 6-month mortality (29%).

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“…The overall outcome of women can be worse than that of men regarding death rate, including 30% higher in-hospital mortality than men, probably because AAD occurs in women an average of 10 to 14 years later than men. Moreover, it was also shown that impending rupture occurs more often in women [ 4 , 7 – 12 ].…”

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confidence: 99%