Bowel necrosis following endovascular revascularization for chronic mesenteric ischemia: a case report and review of the literature.

Abstract

BACKGROUND:

Endovascular revascularization has recently been established as a less invasive treatment method for chronic mesenteric ischemia. However, intestinal necrosis caused by distal embolization following this procedure has not been emphasized.

CASE PRESENTATION:

The present report describes a 59-year-old man who was treated with endovascular revascularization for chronic mesenteric ischemia. After the procedure, he was diagnosed with intestinal necrosis caused by distal embolization. Despite emergent bowel resection, he died on postoperative day 109.

CONCLUSION:

Although endovascular revascularization for chronic mesenteric ischemia is less invasive and may be suitable for high-risk patients, attention should be paid to avoid embolic complications that can cause intestinal infarction possibly leading to a fatal condition.

• Authors: Takuro Shirasu, Akihiro Hosaka, Hiroyuki Okamoto, Kunihiro Shigematsu, Yasushi Takeda, Tetsuro Miyata, Toshiaki Watanabe
• Journal: BMC gastroenterology (BMC Gastroenterol) Vol. 13 Pg. 118 (Jul 19 2013) ISSN: 1471-230X [Electronic] England
• PMID: 23865626 (Publication Type: Case Reports, Journal Article, Review)

Topics

• Embolism (etiology)
• Endovascular Procedures (adverse effects)
• Fatal Outcome
• Humans
• Ileal Diseases (etiology, surgery)
• Ischemia (surgery)
• Male
• Mesenteric Ischemia
• Middle Aged
• Necrosis (etiology)
• Vascular Diseases (surgery)