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Acute acalculous cholecystitis as a rare manifestation of chronic mesenteric ischemia : a case report

2016Artigo científico Acesso aberto
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dc.contributor.authorMelo, Ryan
dc.contributor.authorPedro, Luís M
dc.contributor.authorSilvestre, Luís
dc.contributor.authorFreire, José P.
dc.contributor.authorPereira, Cláudia
dc.contributor.authorFernandes, Ruy Fernandes e
dc.contributor.authorFernandes, José Fernandes e
dc.date.accessioned2020-11-10T16:36:57Z
dc.date.available2020-11-10T16:36:57Z
dc.date.issued2016
dc.description© 2016 The Authors.Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. This is an open access article under the CCBY-NC-NDlicense(http://creativecommons.org/licenses/by-nc-nd/4.0/)pt_PT
dc.description.abstractINTRODUCTION: Symptomatic chronic mesenteric ischemia (CMI) is an uncommon condition that usually presents with intestinal angina, sitophobia and unintentional weight loss. Acute acalculous cholecystitis (AAC) has very rarely been described in the settings of CMI. PRESENTATION OF CASE: We describe a case of a 73 year old man that developed an AAC as a complication of CMI. The patient underwent a simultaneous cholecystectomy and open aortic revascularization which was successful. At 24 months of follow-up the patient is clinically well and regained weight.DISCUSSION: Ischemia has been considered an important etiology for the development of AAC. In the settings of CMI, an AAC might develop has a herald sign of progression to acute mesenteric ischemia and infarction, as the cystic artery is a terminal artery with no collateral network. Performing the aortic revascularization simultaneously with the cholecystectomy might prevent this possible fatal outcome. CONCLUSION: This case reinforces aortic and visceral occlusive disease as a possible risk factor for thedevelopment of AAC, and discusses the treatment controversies when managing both conditions simultaneously.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInternational Journal of Surgery Case Reports 25 (2016) 207–211pt_PT
dc.identifier.doi10.1016/j.ijscr.2016.06.044pt_PT
dc.identifier.eissn2210-2612
dc.identifier.urihttp://hdl.handle.net/10451/44828
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/journal/international-journal-of-surgery-case-reportspt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectChronic mesenteric ischemiapt_PT
dc.subjectAcute-on-chronic mesenteric ischemiapt_PT
dc.subjectAcute acalculous cholecystitispt_PT
dc.subjectOpen aortic revascularizationpt_PT
dc.subjectCase reportpt_PT
dc.titleAcute acalculous cholecystitis as a rare manifestation of chronic mesenteric ischemia : a case reportpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage211pt_PT
oaire.citation.startPage207pt_PT
oaire.citation.titleInternational Journal of Surgery Case Reportspt_PT
oaire.citation.volume25pt_PT
person.familyNamePedro
person.familyNameFernandes e Fernandes
person.givenNameLuís
person.givenNameRuy
person.identifier.ciencia-id0B14-1812-24DC
person.identifier.ciencia-idB710-641D-77AD
person.identifier.orcid0000-0003-4310-9324
person.identifier.orcid0000-0003-1619-8851
person.identifier.scopus-author-id7004454630
person.identifier.scopus-author-id39761284300
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationff4d548a-318e-4368-b735-e8b82e060dd3
relation.isAuthorOfPublication8b4cff45-1799-4e5c-9d7b-61405e351329
relation.isAuthorOfPublication.latestForDiscovery8b4cff45-1799-4e5c-9d7b-61405e351329

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