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Updated: Oct 11, 2025
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
792
Mesenteric and myocardial ischemia revealing lower limb sarcoma
1Department of Surgery, Inje University College of Medicine, Ilsan-Paik Hospital, Goyang, Republic of Korea.
International Journal of Surgery Case Reports
|December 2, 2021
Summary
This case report details a rare instance of superior mesenteric artery (SMA) embolism caused by advanced lower extremity sarcoma, not a typical cardiac source. Prompt diagnosis and intervention are crucial for SMA embolism patients.
Area of Science:
- Vascular Surgery
- Oncology
- Gastroenterology
Background:
- Superior mesenteric artery (SMA) embolism typically arises from cardiac sources.
- Identifying non-cardiac etiologies is crucial for effective treatment.
Purpose of the Study:
- To report a rare case of SMA embolism secondary to advanced lower extremity sarcoma.
- To highlight the importance of considering diverse etiologies in SMA embolism.
Main Methods:
- A 66-year-old male presented with abdominal discomfort.
- Diagnostic workup included coronary angioplasty, laparotomy with SMA embolectomy, small bowel resection, and ileostomy.
- Post-operative biopsy revealed leiomyosarcoma of the thigh with lung metastasis.
Main Results:
- The patient was diagnosed with SMA embolism originating from a lower extremity sarcoma.
- Despite surgical intervention, the patient experienced recurrent peritonitis and ultimately died from multiple organ failure.
- Metastatic leiomyosarcoma was confirmed as the underlying cause.
Conclusions:
- SMA embolism can have rare, non-cardiac origins, such as advanced malignancies.
- Systemic evaluation for diverse etiologies is essential in patients presenting with SMA embolism.
- Timely diagnosis and intervention are critical for improving outcomes in SMA embolism.
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