Complications of non‐occlusive mesenteric ischaemia

Case A 65‐year‐old arteriopath with a history of myocardial infarction 5 months previously presented with classical signs of mesenteric infarction that led to a right hemicolectomy with an end ileostomy. Outcome Postoperative complications occurred due to unusually large volume ileostomy output in t...

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Bibliographic Details
Published in:Acute medicine & surgery 2016-01, Vol.3 (1), p.50-52
Main Author: Weledji, Elroy Patrick
Format: Article
Language:English
Subjects:
Case Report
Case Reports
Ileostomy
intensive care
non‐occlusive mesenteric ischaemia
pharmacotherapy
sepsis
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Summary:Case A 65‐year‐old arteriopath with a history of myocardial infarction 5 months previously presented with classical signs of mesenteric infarction that led to a right hemicolectomy with an end ileostomy. Outcome Postoperative complications occurred due to unusually large volume ileostomy output in the subsequent 4 weeks, resulting in severe volume depletion and the sequelae that required intensive care support. These were triggered and prolonged by two episodes of intra‐abdominal sepsis. Conclusions Sepsis‐induced high ileostomy output following intestinal resection for non‐occlusive mesenteric ischaemia is a serious complication. Early restoration of intestinal continuity following bowel resection for established infarction may prevent this complication.
ISSN:2052-8817
2052-8817
DOI:10.1002/ams2.111