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Updated: May 18, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Intestinal necrosis in young patient due to arterial tumour embolism
Einar Dahle1, Ismail Gögenur, Peter Nørgaard
1Department of Internal Medicine, Herlev University Hospital, Herlev, Denmark.
Abstract:
A patient in the thirties, currently undergoing chemotherapy for metastatic osteosarcoma diagnosed 3 years earlier, was admitted with in the emergency department with abdominal pain. Laparoscopic surgery revealed severe inflammation and an abscess. 18 cm of small intestine was removed because of intestinal necrosis. Histological examination showed several arterial tumour emboli, morphologically similar to the primary sarcoma. The patient died 1 year after successful surgery. Because of the improved survival of patients with osteosarcoma, acute mesenteric ischaemia should be considered in acute abdomen in these patients.
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