J Acute Care Surg.  2021 Mar;11(1):43-46. 10.17479/jacs.2021.1.43.

Laparoscopic Small Bowel Resection After Percutaneous Aspiration Embolectomy in a Patient With Pan-Peritonitis Caused by Superior Mesenteric Artery Occlusion

• Song JS
• Kim MG

• KMID: 2514229
• DOI: http://doi.org/10.17479/jacs.2021.1.43

Abstract

Acute mesenteric ischemia is a state in which intestinal infarction can be caused by a sudden decrease in blood flow. A 68-year-old man was transferred to Hanyang University Guri hospital with abdominal pain. A computed tomography scan performed before the transfer showed no abnormal findings. Examination and evaluation revealed abnormal electrocardiogram findings and increased troponin I. Although emergency coronary angiography was normal, the patient continued to complain of severe abdominal pain. A computed tomography scan showed occlusion of the superior mesenteric artery. Percutaneous aspiration embolectomy was successfully performed prior to surgery, and subsequent laparoscopic exploration revealed an area of bowel necrosis which was then resected. The length of the small intestine remaining after resection measured 1.6 m. On postoperative Day 6, the patient began a soft food diet and was prescribed medication after being diagnosed with atrial fibrillation. He was discharged on the 13th postoperative day without postoperative complications.

Keyword

embolectomy; embolism; laparoscopy; peritonitis; superior mesenteric artery