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Radiol Case Rep 2022 Aug 11;17(8):2869-2873. Epub 2022 Jun 11.

MD at Radiology Unit of Riuniti Hospital, Azienda Ospedaliera Grande Ospedale Metropolitano (G.O.M.) "Bianchi-Melacrino-Morelli", Reggio, Calabria, Italy.

Superior mesenteric artery (SMA) and superior mesenteric vein (SMV) thrombotic occlusion is a rare but potentially fatal condition. Though isolated mesenteric arterial occlusion associated with COVID-19 has been reported in literature, combined superior mesenteric arterial and venous thrombosis is very rare. We report the case of an 88-years-old woman with a combined superior mesenteric arterial and venous thrombotic occlusion with a previous COVID-19 pneumonia of about 15 days before, diagnosed at computed tomography angiography (CTA) scan. Read More

J Clin Exp Hepatol 2022 May-Jun;12(3):965-979. Epub 2021 Nov 22.

Department of Gastroenterology, Seth GS Medical College and KEM Hospital, Mumbai, India.

Patients with cirrhosis of the liver are at high risk of developing portal vein thrombosis (PVT), which has a complex, multifactorial cause. The condition may present with a myriad of symptoms and can occasionally cause severe complications. Contrast-enhanced computed tomography (CT) is the gold standard for the diagnosis of PVT. Read More

J Infect Dev Ctries 2022 May 30;16(5):778-781. Epub 2022 May 30.

Yerevan State Medical University after M. Heratsi, Department of Cardiology, Yerevan, Republic of Armenia.

COVID-19 has resulted in the death of a number of people around the world. Complications of COVID-19 including coagulopathy may contribute to the development of arterial ischemic events. Mesenterial thrombosis is a late complication of the disease. Read More

World J Emerg Med 2022 ;13(3):239-241

Department of Emergency Medicine, Chungnam National University Hospital, Daejeon 301721, Republic of Korea.

Radiol Case Rep 2022 Jul 20;17(7):2568-2572. Epub 2022 May 20.

Department of Radiological Sciences, Oncology and Pathology, "Sapienza" University of Rome - I.C.O.T. Hospital, Via Franco Faggiana, 1668, 04100, Latina, Italy.

Acute Mesenteric Ischemia (AMI) is a rare life-threatening entity caused by sudden interruption of the blood supply to a segment of the bowel due to impairment of mesenteric arterial blood flow or venous drainage. Clinical presentation varies according to the time course of vascular occlusion. Contrast-enhanced Computed Tomography (CT) of the abdomen represents the main diagnostic test for AMI diagnosis, enabling fast and excellent evaluation of the intestine, mesenteric vasculature, and other ancillary characteristics of AMI. Read More

J Surg Case Rep 2022 May 17;2022(5):rjac146. Epub 2022 May 17.

Department of Surgery, NYU Langone Long Island, Mineola, NY 11501 USA.

COVID-19, a novel respiratory viral illness, has spread globally and led to over 111 million cases worldwide. Most commonly, patients present with respiratory symptoms, and those with increased severity progress to acute hypoxic respiratory failure. Additionally, a portion of patients are noted to have coagulopathy and are considered to be at an increased risk for thromboembolic events. Read More

Eur J Vasc Endovasc Surg 2022 Mar 31. Epub 2022 Mar 31.

Department of Vascular Surgery, Seng Kang General Hospital, Singapore. Electronic address:

Avicenna J Med 2022 Jan 21;12(1):38-40. Epub 2022 Feb 21.

Vascular and Interventional Radiology Unit, Department of Medical Imaging, King Abdulaziz Medical City & King Abdullah Specialized Children's Hospital, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia.

Gastroenterology Res 2022 Apr 12;15(2):100-105. Epub 2022 Mar 12.

Department of Internal Medicine, Saint Francis Presence Hospital, Evanston, IL, USA.

Venous thromboembolism (VTE) is a recognized extraintestinal manifestation of inflammatory bowel disease (IBD), with deep venous thrombosis (DVT) and pulmonary embolism being reported as the most frequent vascular complications in IBD patients. Much less frequently, arterial thromboembolic events may also be associated with greater morbidity and mortality. Aortic mural thrombosis is a rare phenomenon described in patients with IBD that often results in serious consequences such as visceral infarction and acute ischemia of the lower extremities. Read More

Eur J Vasc Endovasc Surg 2022 Apr 25. Epub 2022 Apr 25.

Institute of Clinical Medicine, University of Tartu, Tartu, Estonia; Department of Surgical Sciences, Uppsala University, Uppsala, Sweden. Electronic address:

Cureus 2022 Apr 18;14(4):e24251. Epub 2022 Apr 18.

General Surgery Department, Imam Abdulrahman Alfaisal Hospital, Riyadh, SAU.

Introduction Superior mesenteric artery syndrome (SMAS), also called mesenteric duodenal compression syndrome, Wilkie's syndrome, chronic duodenal ileus or cast syndrome, is a rare clinical condition defined as a compression of the third portion of the duodenum in between the SMA and abdominal aorta (AA), due to narrowing of the space between them. SMAS is primarily attributed to loss of the intervening mesenteric fat pad, leading to partial or complete duodenal obstruction. Its manifestations are complex and non-specific, including postprandial epigastric pain, nausea, vomiting, early satiety, weight loss and anorexia. Read More

Cureus 2022 Mar 9;14(3):e23013. Epub 2022 Mar 9.

Internal Medicine, Centro Hospitalar Tâmega e Sousa, Penafiel, PRT.

The coronavirus disease 2019 (COVID-19) disease is a multisystem disease and recent studies have shown an increase in reported thromboembolic complications as deep venous thrombosis, pulmonary embolism (PE), stroke, and less frequently mesenteric artery thrombosis. We present a case of a 75-year-old woman, COVID-19 positive with five days of evolution, who was admitted to the emergency room due to diffuse abdominal pain with several days of progression, along with diarrhea and biliary vomit. Abdominal computed tomography presented images of subtraction of the lumen of the upper mesenteric artery. Read More

Acta Radiol Open 2022 Apr 18;11(4):20584601221094826. Epub 2022 Apr 18.

Department of Radiology, Rigshospitalet, Copenhagen, Denmark.

In this case report, we outline a tailored approach for a complex patient with acute in chronic proximal occlusive mesenteric disease complicated with fresh thrombosis and a heavily calcified aorta, where the standard treatment proved suboptimal. We outline the surgical considerations that ultimately led to performing a hybrid procedure of open thrombectomy combined with retrograde open mesenteric stenting of the superior mesenteric artery. The patient was a 75-year-old male, with a history of severe arteriosclerosis presenting with abdominal pain over 48 h. Read More

Cureus 2022 Apr 7;14(4):x25. Epub 2022 Apr 7.

College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.

Dis Mon 2022 Apr 18:101367. Epub 2022 Apr 18.

Kasturba Hospital, Kasturba Medical College, Manipal, Udupi, Karnataka 576104, India.

Front Surg 2022 14;9:833464. Epub 2022 Mar 14.

Affiliated Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Background: Few centers have adopted endovascular revascularization for the treatment of superior mesenteric artery embolism (SMAE). We sought to evaluate the efficacy of endovascular therapy for the treatment of SMAE and identify post-treatment prognostic factors.

Methods: The clinical data of 41 patients with acute SMA embolism between 2013 and 2021 were retrospectively reviewed. Read More

Ann Transplant 2022 Mar 15;27:e935860. Epub 2022 Mar 15.

Organ Transplant Center, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China (mainland).

BACKGROUND Abdominal organ cluster transplantation for the treatment of upper abdominal end-stage diseases is a serious conundrum for surgeons. CASE REPORT We performed clinical assessment of quadruple organ transplantation (liver, pancreas, duodenum, and kidney) for a patient with end-stage liver disease, post-chronic hepatitis B cirrhosis, uremia, and insulin-dependent diabetes mellitus, and explored the optimal surgical procedure. Simultaneous classic orthotopic liver, pancreas-duodenum, and heterotopic renal transplantation was performed on a 46-year-old man. Read More

Biochem Biophys Res Commun 2022 05 7;603:138-143. Epub 2022 Mar 7.

Department of Biochemistry and Molecular Biology, Institute of Basic Medical Sciences, College of Basic Medicine, and Biomedical Research Institute, Hubei University of Medicine, Hubei, China; Hubei Key Laboratory of Wudang Local Chinese Medicine Research, and Hubei Key Laboratory of Embryonic Stem Cell Research, Hubei University of Medicine, Hubei, China. Electronic address:

Schistosoma japonicum is a parasitic worm that lives in the mesenteric vein of its host and feeds on blood, suggesting that it might be a natural resource of novel anticoagulants. Here, by comprehensive analyses of the genomic sequences of Schistosoma japonicum, a new Kunitz-type gene precursor was identified. The Kunitz-type gene precursor codes for an 18-residue signal peptide and a 60-residue mature peptide. Read More

Acta Pharmacol Sin 2022 Mar 3. Epub 2022 Mar 3.

Department of Pharmacology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, 510080, China.

Platelet hyperactivity is essential for thrombus formation in coronary artery diseases (CAD). Dysfunction of the cystic fibrosis transmembrane conductance regulator (CFTR) in patients with cystic fibrosis elevates intracellular Cl levels ([Cl]) and enhanced platelet hyperactivity. In this study, we explored whether alteration of [Cl] has a pathological role in regulating platelet hyperactivity and arterial thrombosis formation. Read More

Radiol Case Rep 2022 Apr 7;17(4):1246-1250. Epub 2022 Feb 7.

Department of Surgery, Tokyo Dental College Ichikawa General Hospital, 5-11-13 Sugano, Ichikawa, Chiba, Japan.

Post-pancreaticoduodenectomy hemorrhage is a life-threatening complication that usually occurs in skeletonized arteries. Venous hemorrhage is a rarer complication, and surgical management is often challenging. We herein report the case of an 80-year-old man who suffered from prolonged pancreatic fistula and long-term drainage tube placement, which could cause late post-pancreaticoduodenectomy hemorrhage from the confluence of the splenic and extrahepatic portal veins. Read More

Vasc Endovascular Surg 2022 Apr 7;56(3):290-297. Epub 2022 Feb 7.

School of Nursing & Midwifery, 8863Royal College of Surgeons in Ireland, Dublin, Ireland.

The study aimed to review the use of synthetic grafts (SGs) and autologous vein grafts (AVGs) in visceral arterial reconstruction (VAR) in chronic visceral ischaemia. Systematic review methodology was employed. Six studies were included (218 patients and 281 vessels). Read More

Radiol Case Rep 2022 Mar 23;17(3):1013-1020. Epub 2022 Jan 23.

Department of Radiology, Robert Larner M.D. College of Medicine, University of Vermont Medical Center, 111 Colchester Ave, Burlington, VT 05401, USA.

Pancreatic pseudocyst formation, arterial pseudoaneurysm, and splanchnic vein thrombosis are complications of chronic pancreatitis that account for significant morbidity and mortality in this patient population. While the short-term utility of timely endovascular intervention for treating the vascular complications of chronic pancreatitis have been relatively well documented, there is a paucity of longitudinal follow-up in this patient population, therefore making it difficult to predict the long-term efficacy of these interventions. This report details a case of a gastroduodenal artery pseudoaneurysm embolization followed by symptomatic superior mesenteric vein chronic thrombosis treated by stent dilatation in a patient with chronic pancreatitis, with 7 years clinical and imaging follow-up. Read More

EJVES Vasc Forum 2022 22;54:41-43. Epub 2022 Jan 22.

Vascular Surgery Unit, Santa Croce e Carle Hospital, Cuneo, Italy.

Introduction: Acute thrombosis of an infrarenal abdominal aortic aneurysm (ATAAA) represents an uncommon but catastrophic pathology, which can lead to life threatening complications. This is a report of the infrequent use of an endovascular solution to successfully treat ATAAA in a patient with COVID-19 viral pneumonia and ischaemia induced lower extremity neurological deficits.

Report: An 89 year old white male, with a history of cardiovascular comorbidities was admitted to the emergency room with dyspnoea associated with the sudden onset of abdominal and back pain followed by partial motor and sensory deficits in both legs. Read More

J Heart Lung Transplant 2022 05 10;41(5):608-618. Epub 2022 Jan 10.

University Lille, CHU Lille, Cardiac Surgery, Lille, France.

Background: During peripheral extracorporeal veno-arterial membrane oxygenation (VA-ECMO) support, subclavian arterial cannulation provides, in comparison to femoral arterial cannulation, an anterograde flow which may prevent from left ventricular (LV) distention and improve outcomes. We aimed to compare the effectiveness of subclavian cannulation to femoral cannulation in reducing LV overdistension consequences, hemostatic complications and mortality.

Methods: This retrospective study conducted in two intensive care units of the Lille academic hospitals from January 2013 to December 2019 included 372 non-moribund adult patients supported by VA-ECMO. Read More

Oxf Med Case Reports 2022 Jan 24;2022(1):omab145. Epub 2022 Jan 24.

Faculty of Medical Sciences, University of Newcastle Medical School, Newcastle upon Tyne, UK.

Infective endocarditis can result in potentially fatal complications such as heart failure, systemic embolization, mycotic aneurysm and neurological complications. Staphylococci and streptococci are the most common causative agents of infective endocarditis, with being a rare cause. We present a case of infective endocarditis in a young patient who presented with an acute abdomen 2 months after being diagnosed with cerebrovascular accident. Read More

J Clin Exp Hepatol 2022 Jan-Feb;12(1):29-36. Epub 2021 Apr 24.

Centre for Liver and Biliary Sciences, Max Super Speciality Hospital, 1, Press Enclave Road, Saket, New Delhi, 110017, India.

Background: Natural portosystemic shunt ligation practices in liver transplant vary widely across transplant centres and are frequently undertaken to prevent the serious consequence of portal steal phenomenon. No concrete indications have so far been convincingly identified for their management in living donor liver transplant.

Methods: We retrospectively studied the outcome of 89 cirrhotic patients who either did (n = 63) or did not (n = 25) undergo shunt ligation during living donor liver transplantation between 2017 and 2020. Read More

J Cardiol Cases 2021 Oct 7;24(4):157-160. Epub 2021 Apr 7.

Division of Cardiology, San Jacopo Hospital, Pistoia, Italy.

Behçet disease (BD) is a form of widespread vasculitis that involves both arteries and veins. Cardiac involvement in BD is exceedingly rare and can present as a form of non-bacterial- thrombotic-endocarditis (NBTE). A 54-year-old man with Behçet disease was admitted to our hospital after presenting with abdominal pain and fever. Read More

J Clin Med 2021 Dec 30;11(1). Epub 2021 Dec 30.

Faculty of Medicine, Ovidius University Constanta, 900470 Constanta, Romania.

Acute mesenteric ischemia is a rare but extremely severe complication of SARS-CoV-2 infection. The present review aims to document the clinical, laboratory, and imaging findings, management, and outcomes of acute intestinal ischemia in COVID-19 patients. A comprehensive search was performed on PubMed and Web of Science with the terms "COVID-19" and "bowel ischemia" OR "intestinal ischemia" OR "mesenteric ischemia" OR "mesenteric thrombosis". Read More

Radiol Case Rep 2022 Mar 31;17(3):821-824. Epub 2021 Dec 31.

Department of Radiology, University of Missouri, One Hospital Dr., Columbia, MO 65212, USA.

Thromboembolism is a recognized complication in patients with COVID-19 infection. It is believed that coagulopathy results secondary to severe inflammatory response syndrome with release of cytokines, viral activation of coagulation cascade or viral related vasculitis. Both arterial and venous thromboembolic complications have been described, however venous thromboembolic complications are much far common. Read More

Surg Case Rep 2022 Jan 10;8(1). Epub 2022 Jan 10.

Department of Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.

Background: The novel 2019 coronavirus disease (COVID-19), which is caused by infection with the severe acute respiratory syndrome coronavirus 2, has spread rapidly around the world and has caused many deaths. COVID-19 involves a systemic hypercoagulable state and arterial/venous thrombosis which induces unfavorable prognosis. Herein, we present a first case in East Asia where an acute superior mesenteric artery (SMA) occlusion associated with COVID-19 pneumonia was successfully treated by surgical intervention. Read More