4 months ago
90 y.o. patient with abdominal pain referred to our deparment. CT scan howed occlusion of superior mesenteric artery with rich collateral vascularisation. No ischemic colon described. However the status of the patient worsened and laparotomy was indicated. Only a ischemic caecum identified and removed with right hemicolectomy (stapled anastomosis).
Postoperatively there was another ischemisation (identified in re-laparotomy) and the patient died afterwards. No anastomotic leak identified during the surgery (48 after the first procedure).