Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_369»
«MEDICAL WRITING: CASE ABSTRACT_369»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
complicating percutaneous transluminal coeliac artery stenting for chronic
mesenteric ischaemia: a case report
Chronic mesenteric ischaemia is an
important cause of abdominal pain, especially in older patients with risk
factors for vascular disease. Until recently, surgical revascularization
procedures such as endarterectomy and aorto-coeliac or aorto-mesenteric bypass
grafting were the only available treatment options for patients with chronic
mesenteric ischaemia. Percutaneous angioplasty and stenting have recently been
shown to be effective and safe alternatives to surgical revascularization in
high-risk patients with chronic mesenteric ischaemia.
We report an 84-year-old woman
with symptoms of chronic mesenteric ischaemia, including post-prandial
abdominal pain and weight loss. Investigations demonstrated calcific stenoses
at the origins of the celiac, superior mesenteric and inferior mesenteric
arteries, along with nonocclusive calcification in the mid-splenic artery.
Coeliac artery angioplasty and stenting was performed, resulting in excellent
arterial dilatation at the stenotic point and distal filling of the coeliac and
superior mesenteric arteries and their branches. Within hours of successful
stenting of the coeliac artery, the patient developed severe left upper
quadrant pain. Progress imaging demonstrated splenic infarction, likely as a
result of calcific emboli dislodged from the calcified plaque at the origin of
the celiac artery at the time of angioplasty and stenting. The left upper
quadrant pain resolved after 8 days and the patient remains asymptomatic 2
This is the first reported case of
splenic infarction complicating otherwise successful coeliac artery stenting,
presumably as a consequence of distal embolization of disrupted calcific
plaque. This complication, occurring on a background of non-occlusive splenic
arterial calcification, represents a novel cause of abdominal pain
Find in the abstract:
·Why is it important
·Needs to be reported
Answer the questions:
1.Is this the first report of this kind in the literature?
2.What are brief details of what the patient(s) presented with?
3.What the reader should learn from the case report?
4.What the clinical impact will be?
5.Is it an original case report of interest to a particular clinical
specialty of medicine?
6.Will it have a broader clinical impact across medicine?
7.Are any teaching points identified?
·Why abstract is the most important part for case
published in electronic databases?