Post traumatic arterial occlusive mesenteric ischemia: a rare case report

Mesenteric ischemia is an uncommon condition with very high mortality rates characterized by inadequate blood supply, inflammatory injury, and subsequent necrosis of the bowel wall. Acute arterial mesenteric ischemia is usually caused by cardiac emboli, atherosclerotic vascular disease, aortic aneur...

Full description

Saved in:
Bibliographic Details
Published inRadiology case reports Vol. 17; no. 3; pp. 473 - 476
Main Authors Khan, Khalid, Bunajem, Fatema, Alkhan, Fatema
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.03.2022
Elsevier
Subjects
Acute mesenteric ischemia
Bowel ischemia
Case Report
Gangrene
Mesenteric ischemia
Superior mesenteric artery thrombosis
Trauma
Gangrene
Bowel ischemia
Superior mesenteric artery thrombosis
Acute mesenteric ischemia
Trauma
Mesenteric ischemia
Online AccessGet full text

Cover

More Information
Summary:Mesenteric ischemia is an uncommon condition with very high mortality rates characterized by inadequate blood supply, inflammatory injury, and subsequent necrosis of the bowel wall. Acute arterial mesenteric ischemia is usually caused by cardiac emboli, atherosclerotic vascular disease, aortic aneurysm, or dissection. We report a case of a 60-year-old male who presented to the accident and emergency department complaining of abdominal pain following blunt abdominal trauma. An urgent contrast enhanced computed tomography scan demonstrated superior mesenteric artery thrombosis with ischemic small bowel. Surgical intervention was carried out with resection of the necrotic bowel followed by anastomosis. Acute occlusive mesenteric ischemia needs to be considered in cases of blunt trauma presenting with abdominal pain. Proper early diagnosis and management is essential as it carries a high risk of morbidity and mortality.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2021.11.017