Retrospective Cohort Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 6, 2022; 10(13): 4020-4032
Published online May 6, 2022. doi: 10.12998/wjcc.v10.i13.4020
Role of clinical data and multidetector computed tomography findings in acute superior mesenteric artery embolism
Ju-Shun Yang, Zhen-Yu Xu, Fei-Xiang Chen, Mei-Rong Wang, Ruo-Chen Cong, Xiao-Le Fan, Bo-Sheng He, Wei Xing
Ju-Shun Yang, Wei Xing, Department of Radiology, The Third Affiliated Hospital of Soochow University, Changzhou 213003, Jiangsu Province, China
Ju-Shun Yang, Fei-Xiang Chen, Mei-Rong Wang, Ruo-Chen Cong, Xiao-Le Fan, Bo-Sheng He, Department of Radiology, The Second Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China
Zhen-Yu Xu, Department of Ultrasonography, The Second People's Hospital of Nantong, Nantong 226002, Jiangsu Province, China
Author contributions: Yang JS, He BS and Xing W were responsible for design of the study and reviewed the manuscript; Yang JS drafted the manuscript; Xu ZY, Chen FX and Wang MR performed data collection and analysis; Yang JS, Fan XL and Cong RC prepared the figures and tables; He BS and Xing W were responsible for revising manuscript. All authors have read and approved the final manuscript.
Supported by The "333" Talent Funding Project of Jiangsu Province, No. BRA2020198; Nantong City Social Development Project-Standardized Diagnosis and Treatment of Key Diseases No. HS2019002; and The Youth Project of Nantong City Health Committee, No. QA2019006 and QA2020002.
Institutional review board statement: The study was approved by the ethics committee of the Second Affiliated Hospital of Nantong University. Since this study is a retrospective study.
Informed consent statement: No informed consent was needed.
Conflict-of-interest statement: No financial or nonfinancial benefits have been received or will be received from any party related directly or indirectly to the subject of this article.
Data sharing statement: All data generated or analyzed during this study are available from the corresponding author Wei Xing upon reasonable request.
STROBE statement: The authors have read the STROBE Statement checklist of items, and the manuscript was prepared and revised according to the STROBE Statement checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei Xing, MD, Doctor, Department of Radiology, The Third Affiliated Hospital of Soochow University, No. 185 Juqian Street, Tianning District, Changzhou 213003, Jiangsu Province, China. suzhxingwei@suda.edu.cn
Received: November 2, 2021
Peer-review started: November 2, 2021
First decision: February 14, 2022
Revised: February 25, 2022
Accepted: March 16, 2022
Article in press: March 16, 2022
Published online: May 6, 2022
Processing time: 178 Days and 18.7 Hours
Core Tip

Core Tip: Acute superior mesenteric artery embolism (SAME) has a rapid onset and progression and lacks specific clinical and biochemical diagnostic indicators, resulting in delayed diagnosis and poor prognosis. Currently, multidetector computed tomography (MDCT) is recommended as the first-line examination method for diagnosing mesenteric vascular diseases. However, when there is no clinical doubt, radiologists can easily miss SMAE with length ≤ 20 mm and in regions III and IV, affecting early treatment of patients. We found that a serum lactate level > 2.1 mmol/L and intestinal wall thinning on MDCT could independently predict the risk factors of death in patients with SMAE.