Mesenteric swirl on angiotomography of a patient with Petersen's hernia and apparent mesenteric thrombosis
Introduction: Diagnostic images are essential for the diagnosis of mesenteric vein thrombosis and Petersen's hernia. Objective: To describe the treatment of a patient who presented apparent thrombosis of the mesenteric vein and Petersen's hernia on angiotomography. Clinical case: A patient...
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| Format: | Article |
| Language: | Spanish |
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ECIMED
2022-04-01
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| Series: | Revista Cubana de Medicina Militar |
| Subjects: | |
| Online Access: | http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1795 |
| _version_ | 1811327555649667072 |
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| author | Carlos Martín Ardila Mateo Zuluaga-Gomez Daniela Giraldo-Campillo Daniel Gonzalez-Arroyave |
| author_facet | Carlos Martín Ardila Mateo Zuluaga-Gomez Daniela Giraldo-Campillo Daniel Gonzalez-Arroyave |
| author_sort | Carlos Martín Ardila |
| collection | DOAJ |
| description | Introduction: Diagnostic images are essential for the diagnosis of mesenteric vein thrombosis and Petersen's hernia.
Objective: To describe the treatment of a patient who presented apparent thrombosis of the mesenteric vein and Petersen's hernia on angiotomography.
Clinical case: A patient consulted for colicky abdominal pain predominantly in the epigastrium, radiating to the dorsal region. Due to the clinical picture suggestive of vascular emergency, an angiotomography of the vessels of the thorax and abdomen was immediately requested. The images revealed patency of the superior mesenteric artery at its origin and in the proximal third, appreciating a vessel turn (swirl sign) approximately 7 cm from its origin with apparent complete occlusion due to thrombosis. In the same place where the twisting of the vessels was evident, the initiation of apparent thrombosis of the superior mesenteric vein was appreciated. A surgical procedure was performed in which Petersen's space and herniation of the entire small intestine through this space were found. The laparotomy showed that the patient did not have thrombosis at any time, but that it was an effect given by the image and the finding that was seen was secondary to Petersen's hernia.
Conclusions: The presence of the swirl sign on an angiotomography is very important but not definitive in the diagnosis of Petersen's hernia. |
| first_indexed | 2024-04-13T15:10:01Z |
| format | Article |
| id | doaj.art-776beef29b0441fbb7296a3966dda816 |
| institution | Directory Open Access Journal |
| issn | 1561-3046 |
| language | Spanish |
| last_indexed | 2024-04-13T15:10:01Z |
| publishDate | 2022-04-01 |
| publisher | ECIMED |
| record_format | Article |
| series | Revista Cubana de Medicina Militar |
| spelling | doaj.art-776beef29b0441fbb7296a3966dda8162022-12-22T02:42:03ZspaECIMEDRevista Cubana de Medicina Militar1561-30462022-04-01512e02201795e02201795544Mesenteric swirl on angiotomography of a patient with Petersen's hernia and apparent mesenteric thrombosisCarlos Martín Ardila0Mateo Zuluaga-Gomez1Daniela Giraldo-Campillo2Daniel Gonzalez-Arroyave3Universidad de AntioquiaHospital San Vicente FundaciónHospital San Vicente FundaciónHospital San Vicente FundaciónIntroduction: Diagnostic images are essential for the diagnosis of mesenteric vein thrombosis and Petersen's hernia. Objective: To describe the treatment of a patient who presented apparent thrombosis of the mesenteric vein and Petersen's hernia on angiotomography. Clinical case: A patient consulted for colicky abdominal pain predominantly in the epigastrium, radiating to the dorsal region. Due to the clinical picture suggestive of vascular emergency, an angiotomography of the vessels of the thorax and abdomen was immediately requested. The images revealed patency of the superior mesenteric artery at its origin and in the proximal third, appreciating a vessel turn (swirl sign) approximately 7 cm from its origin with apparent complete occlusion due to thrombosis. In the same place where the twisting of the vessels was evident, the initiation of apparent thrombosis of the superior mesenteric vein was appreciated. A surgical procedure was performed in which Petersen's space and herniation of the entire small intestine through this space were found. The laparotomy showed that the patient did not have thrombosis at any time, but that it was an effect given by the image and the finding that was seen was secondary to Petersen's hernia. Conclusions: The presence of the swirl sign on an angiotomography is very important but not definitive in the diagnosis of Petersen's hernia.http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1795hernia de petersentrombosis meséntericatomografía computarizada. |
| spellingShingle | Carlos Martín Ardila Mateo Zuluaga-Gomez Daniela Giraldo-Campillo Daniel Gonzalez-Arroyave Mesenteric swirl on angiotomography of a patient with Petersen's hernia and apparent mesenteric thrombosis Revista Cubana de Medicina Militar hernia de petersen trombosis mesénterica tomografía computarizada. |
| title | Mesenteric swirl on angiotomography of a patient with Petersen's hernia and apparent mesenteric thrombosis |
| title_full | Mesenteric swirl on angiotomography of a patient with Petersen's hernia and apparent mesenteric thrombosis |
| title_fullStr | Mesenteric swirl on angiotomography of a patient with Petersen's hernia and apparent mesenteric thrombosis |
| title_full_unstemmed | Mesenteric swirl on angiotomography of a patient with Petersen's hernia and apparent mesenteric thrombosis |
| title_short | Mesenteric swirl on angiotomography of a patient with Petersen's hernia and apparent mesenteric thrombosis |
| title_sort | mesenteric swirl on angiotomography of a patient with petersen s hernia and apparent mesenteric thrombosis |
| topic | hernia de petersen trombosis mesénterica tomografía computarizada. |
| url | http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1795 |
| work_keys_str_mv | AT carlosmartinardila mesentericswirlonangiotomographyofapatientwithpetersensherniaandapparentmesentericthrombosis AT mateozuluagagomez mesentericswirlonangiotomographyofapatientwithpetersensherniaandapparentmesentericthrombosis AT danielagiraldocampillo mesentericswirlonangiotomographyofapatientwithpetersensherniaandapparentmesentericthrombosis AT danielgonzalezarroyave mesentericswirlonangiotomographyofapatientwithpetersensherniaandapparentmesentericthrombosis |