Irreversible lower limb ischaemia following ligation of the inferior mesenteric artery in the surgical treatment of rectal cancer

被引：5
|
作者：
Perricone V. [1 ]
Finnis D. [2 ]
Ward A.S. [1 ]
Heald R.J. [1 ]
Moran B.J. [1 ]
机构：
[1] Department of General Surgery, North Hampshire Hospital, Basingstoke, RG24 9NA, Aldermaston Road
[2] Salisbury General Hospital, Salisbury
来源：
Techniques in Coloproctology | 2004年 / 8卷 / 3期
关键词：
Collateral circulation; Inferior mesenteric artery; Limb ischaemia;
D O I：
10.1007/s10151-004-0085-1
中图分类号：
学科分类号：
摘要：
Rectal cancer and cardiovascular disease are both commoner in the elderly and may coexist. In some severe arteriopaths the blood supply to the lower limbs may be a collateral circulation from the inferior mesenteric artery. Patients with aorto-iliac occlusion or severe stenosis may have collaterals from the inferior mesenteric artery to the lower limb blood vessels. Ligation of the inferior mesenteric artery in treating rectal cancer can result in irreversible ischaemia as outlined in this report. Routine palpation of the femoral pulses and awareness of collateral circulation may avoid the disastrous consequences seen in the two cases described.
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收藏
页码：183 / 184
页数：1
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