Malignant tumor embolus is a rare cause of mesenteric ischemia, requiring specific diagnostic and management algorithms.
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Malignant tumor embolus merits consideration in mesenteric ischemia; case report leaves open prospective validation of proposed algorithm.
Malignant tumor embolus recovered at the time of superior mesenteric artery embolectomy is an uncommon experience. A report of such a case is presented and the literature is reviewed. In this clinical setting, guidelines for further diagnostic evaluation are not well defined. We suggest an algorithm for the evaluation and management of these patients. In the near future, use of intraoperative angioscopy and the intravascular laser to eradicate the tumor may represent the optimal method of treatment.
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Guyton et al. (1987) studied this question.
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