Hemodialysis with mesenteric artery calcified stenosis and mesenteric ischemia: a case report
10.3760/cma.j.cn431274-20220807-00783
- VernacularTitle:血液透析并肠系膜动脉钙化狭窄及肠系膜缺血一例
- Author:
Linlin ZHANG
1
;
Rong TANG
;
Gong XIAO
;
Huipeng GE
;
Xiangcheng XIAO
Author Information
1. 中南大学湘雅医院肾内科，长沙 410008
- Keywords:
Vascular calcification;
Mesenteric artery, superior;
Mesenteric ischemia;
Hemodialysis
- From:
Journal of Chinese Physician
2023;25(3):370-373
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To improve the understanding of hemodialysis complicated with mesenteric artery calcified stenosis and mesenteric ischemia through the analysis of the case and review of related literature.Methods:A case of hemodialysis with intractable abdominal pain as the main manifestation was reported, and its clinical features, diagnosis and treatment were summarized.Results:The case was a maintenance hemodialysis patient with persistent dull pain around the umbilicus, which worsens after meal and hemodialysis. The results showed multiple vascular calcification, superior mesenteric artery stenosis so the patient was diagnosed with chronic mesenteric ischemia. Mesenteric revascularization under intervention was planned but the guide wire failed to enter the superior mesenteric artery after repeated attempts during the operation. Surgical treatment was recommended, but the patient and family refused surgery and were discharged.Conclusions:Dialysis patients with intractable abdominal pain should be carefully identified and alert for mesenteric artery disease and mesenteric ischemia.
