A CASE REPORT OF ACUTE MESENTERIC ARTERY AND LIGHT COMMON ILIAC ARTERY OCCLUSION

Acute mesenteric artery occlusion is one of the poorest prognostic acute abdomens, because it is difficult to diagnose in an early stage and needs a resection involving a large part of the bowels at the operation for the most patients. Angiography is useful for making the definite diagnosis of this disease, whearas the clinical symptom is often atypical. Thus the final diagnosis can not be obtained easily. A 66-year-old male who was treated for hypertension, arteriosclerosis, atrial fibrillation, angina pectoris and old cerebral infarction at a nearly clinic was admitted to the hospital because of a low abdominal painlasting for 3 days. Symptoms of ileus and abnormally increased CPK suggested the mesenteric artery occlusion. Emergency angiography showed an occlusion of the mesenteric artery and right common iliac artery. Emergency operation was performed. A large part of the bowels was resected and right-left femoral artery bypass was made. These procedures were able to save the life of this patient. A riview of the literature is also presented here.