Journal article
Mesenteric Revascularization in a Contaminated Abdomen: A Case Report
Vascular surgery, Vol.35(5), pp.415-418
09/2001
DOI: 10.1177/153857440103500514
PMID: 11565048
Abstract
The management of acute mesenteric ischemia in the contaminated abdomen may require the use of an autogenous graft to achieve mesenteric revascularization. The authors present a case of an ischemic small bowel perforation in a 62-year-old-woman whose preoperative angiogram demonstrated occlusion of the celiac, superior mesenteric, and inferior mesenteric arteries. Vein mapping of the right greater saphenous vein demonstrated a dual saphenous system whose individual diameters were more than 4 millimeters. Exploratory laparotomy revealed a diffusely ischemic small bowel and liver, as well as abdominal sepsis from the perforated small bowel. Revascularization was accomplished by using saphenous vein in a nonreversed orientation as a bifurcated conduit from the supraceliac aorta to the hepatic and superior mesenteric arteries. Following revascularization, the liver and small bowel immediately regained a normal perfused appearance and the perforated segment of small bowel was resected and reanastomosed. She returned for a follow-up clinic visit 5 months later and was found to have an asymptomatic 6 cm aneurysm involving the proximal mesenteric vein bypass. The aneurysmal aspect of the vein bypass was replaced with a polytetrafluoroethylene interposition graft originating from the supraceliac aorta. On follow-up 3 months later, her aortomesenteric bypass is patent without aneurysmal recurrence, and she is clinically asymptomatic from any symptoms of mesenteric ischemia.
Details
- Title: Subtitle
- Mesenteric Revascularization in a Contaminated Abdomen: A Case Report
- Creators
- Richard M YoungJamal J HoballahWilliam J SharpJohn D Corson - Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA
- Resource Type
- Journal article
- Publication Details
- Vascular surgery, Vol.35(5), pp.415-418
- DOI
- 10.1177/153857440103500514
- PMID
- 11565048
- ISSN
- 0042-2835
- eISSN
- 1938-9116
- Language
- English
- Date published
- 09/2001
- Academic Unit
- Radiology; Surgery
- Record Identifier
- 9984051732202771
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