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- Title
case of pancreatic cancer invading the superior mesenteric artery causing extensive intestinal necrosis that was successfully treated by surgery.
- Authors
Nitta, Nobuhito; Yamamoto, Yusuke; Sugiura, Teiichi; Okamura, Yukiyasu; Ito, Takaaki; Ashida, Ryo; Ohgi, Katsuhisa; Uesaka, Katsuhiko
- Abstract
Introduction Pancreatic cancer often invades major arteries. However, there are few reports about extensive bowl necrosis caused by superior mesenteric artery (SMA) occlusion associated with pancreatic cancer invasion. Case report A 73-year-old woman who was receiving chemotherapy for locally advanced pancreatic cancer (LAPC) was referred to our hospital for abdominal swelling and vomiting that had persisted for 2 days. Contrast-enhanced computed tomography revealed occlusion of the SMA by pancreatic cancer, which had invaded the whole circumference of the SMA. On emergency laparotomy, a large amount of necrotic and ischemic intestine was resected, preserving approximately 100 cm of the ileum. Gastroileostomy was also performed. She had an uneventful postoperative course. Conclusions Surgical treatment is a good option for acute SMA occlusion due to invasion by LAPC.
- Subjects
MESENTERIC artery; PANCREATIC cancer; NECROSIS; THERAPEUTICS; COMPUTED tomography
- Publication
Journal of Surgical Case Reports, 2019, Vol 2019, Issue 4, pN.PAG
- ISSN
2042-8812
- Publication type
Article
- DOI
10.1093/jscr/rjz118