Mesenteric Infarction at a Teenager Rare Case of Acute Surgical Abdomen in Pediatric Pathology

The mesenteric infarction, named also intestinal infarction, stays one of the world’s severe dramas of acute surgical abdomen. It represents one of the main objectives in the field of clinical and therapeutic investigations due to the dramatic clinical phenomena of the disease and adds a high mortality rate, between 80 and 100. Although the symptoms are known, several elements, including the etiology are difficult to determine both clinical and intra-operative, physio-pathology mechanisms are incompletely elucidated, as events that are common with other abdominal diseases, are major difficulties in establishing a diagnosis of certainty, often delaying proper therapeutic attitude. Intense abdominal pain can be accompanied by collapse, where lean peristaltic contractions, may suggest either a hemorrhagic pancreatitis and other diseases of an acute surgical abdomen. The notion of mesenteric infarction is related to total and sudden interruption of blood flow through the superior mesenteric artery or vein. The mesenteric infraction is a maximum emergency of an acute surgical abdomen due to high diagnostic difficulties that often arises later. Rarely, intestinal-mesenteric infarction may occur in very young subjects which do not suffer from heart or vascular diseases. Clinic study: As I said the condition is extremely rare in a child or teenager. However I intervened surgically to a girl of 16 years, initially hospitalized in pediatric clinic of the hospital. After hospitalization, the patient had diffuse abdominal pain, mainly in the epigastrium (pain which initially has been like a epigastrium distress, the primary cause being the our-days eating habits), vomiting, malaise.