Published in:
Open Access
01-12-2013 | Case report
Bowel necrosis following endovascular revascularization for chronic mesenteric ischemia: a case report and review of the literature
Authors:
Takuro Shirasu, Akihiro Hosaka, Hiroyuki Okamoto, Kunihiro Shigematsu, Yasushi Takeda, Tetsuro Miyata, Toshiaki Watanabe
Published in:
BMC Gastroenterology
|
Issue 1/2013
Login to get access
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.