Objective: To understand the role of the artery of Drummond in the elderly population. The artery plays a crucial role in the anastamosis between the inferior mesenteric artery and superior mesenteric artery. Its main...Objective: To understand the role of the artery of Drummond in the elderly population. The artery plays a crucial role in the anastamosis between the inferior mesenteric artery and superior mesenteric artery. Its maintenance is particularly important for the survivability of the bowel in events of stenosis of either one of the native arteries;SMA or IMA. Method: A 94 year old lady presents with post-prandial abdominal pain and significant emaciation. The patient undergoes clinical and radiological investigations to find out the cause of her ailments. Results: Abdominal X-ray revealed a serpentine structure that was later defined as the artery of Drummond, CT scan revealed a calcified and enlarged artery of Drummond in addition to an occluded origin of SMA and celiac artery as well as a severe stenosis origin of IMA. Conclusion: The artery of Drummond was immensely hypertrophied and was supplying the entire bowel through the native IMA;subsequent occlusion of the IMA was the main cause that caused the demise of the patient.展开更多
Aortic dissection with neurological symptoms is a usual presentation and rarecondition. It poses a major diagnostic challenge due to the risk of misdiagnosisand worse prognosis (functional or vital). We present the cl...Aortic dissection with neurological symptoms is a usual presentation and rarecondition. It poses a major diagnostic challenge due to the risk of misdiagnosisand worse prognosis (functional or vital). We present the clinical case of a 53-year-old female patient admitted for chest pain and sudden onset paraplegiain cardiology department. Her medical history included hypertension and diabetesmellitus. Physical examination showed paraplegia associated to anesthesiaof legs and painless back. BP: 120/60 mmHG. Cariopulmonary auscultationwas normal. Pulses presents. Chest X-ray revealed mediastinal widening.Cardiac ultrasound revealed an intimal tear of aortic dissection and severeaortic insufficiency. Chest CT angiography showed a Stanford type A aorticdissection with left renal infarction. Spinal cord MRI was not available. In theabsence of a cardiac surgery center, the patient died one month later fromtrophic and infectious complications. Paraplegia leads to aortic dissectionwhen there is no pain in the back and occurs suddenly. Hypertension is thecommon cause in subafrica. Early diagnosis and management prevent death.展开更多
文摘Objective: To understand the role of the artery of Drummond in the elderly population. The artery plays a crucial role in the anastamosis between the inferior mesenteric artery and superior mesenteric artery. Its maintenance is particularly important for the survivability of the bowel in events of stenosis of either one of the native arteries;SMA or IMA. Method: A 94 year old lady presents with post-prandial abdominal pain and significant emaciation. The patient undergoes clinical and radiological investigations to find out the cause of her ailments. Results: Abdominal X-ray revealed a serpentine structure that was later defined as the artery of Drummond, CT scan revealed a calcified and enlarged artery of Drummond in addition to an occluded origin of SMA and celiac artery as well as a severe stenosis origin of IMA. Conclusion: The artery of Drummond was immensely hypertrophied and was supplying the entire bowel through the native IMA;subsequent occlusion of the IMA was the main cause that caused the demise of the patient.
文摘Aortic dissection with neurological symptoms is a usual presentation and rarecondition. It poses a major diagnostic challenge due to the risk of misdiagnosisand worse prognosis (functional or vital). We present the clinical case of a 53-year-old female patient admitted for chest pain and sudden onset paraplegiain cardiology department. Her medical history included hypertension and diabetesmellitus. Physical examination showed paraplegia associated to anesthesiaof legs and painless back. BP: 120/60 mmHG. Cariopulmonary auscultationwas normal. Pulses presents. Chest X-ray revealed mediastinal widening.Cardiac ultrasound revealed an intimal tear of aortic dissection and severeaortic insufficiency. Chest CT angiography showed a Stanford type A aorticdissection with left renal infarction. Spinal cord MRI was not available. In theabsence of a cardiac surgery center, the patient died one month later fromtrophic and infectious complications. Paraplegia leads to aortic dissectionwhen there is no pain in the back and occurs suddenly. Hypertension is thecommon cause in subafrica. Early diagnosis and management prevent death.
