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isolated common hepatic artery branch thrombosis: results and risk factors
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نویسنده
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davoodabadi abdoulhossein ,talari hamid reza ,jahanbakhsh maseeh
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منبع
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acta medica iranica - 2016 - دوره : 54 - شماره : 9 - صفحه:610 -613
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چکیده
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isolated common hepatic artery branch thrombosis with severe gastric ischemia and duodenojejunal infarction is a rare condition; it usually presents with acute abdomen and may be associated with underlying thrombotic risk factors. we present a 35-year-old man admitted to our hospital with five days history of sudden abdominal pain and deteriorating epigastric pain. he was a driver and had no any past medical history. explorative laparotomy showed: distal 2/3 gastric, duodenojejunal and papilla vater was sloughed. the stomach subtotal and sloughed duodenum and first 20 cm of jejunum were resected, continuity of the gastrointestinal was preserved with anastomosis of the proximal part of jejunum to gastric stump, pancreatic duct, and cbd repaired to the lateral side of jejunum on the guide of two 18 french feeding tube as an external drain. the patient had a good immediate postoperative recovery. coagulation checkup after operation revealed isolated hyperhomocysteinemia.
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کلیدواژه
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isolated common ,hepatic artery ,branch thrombosis ,hyperhomocysteinemia ,gastric ischemic ,necrosis duode ,nojejunal sloughing
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آدرس
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department of surgery, school of medicine, kashan university of medical sciences, kashan, iran., Iran, Islamic Republic of, department of radiology, school of medicine, kashan university of medical sciences, kashan, iran., Iran, Islamic Republic of, department of surgery, school of medicine, kashan university of medical sciences, kashan, iran., Iran, Islamic Republic of
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پست الکترونیکی
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davoodabadi28ab@yahoo.com
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Authors
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