A Rare Case of Acute Mesenteric Ischemia Associated with Multiple Intestinal Perforations

General Surgeon, Department of General Surgery, All India Institute of Medical Sciences, Bhopal, India

*Corresponding author: Dr. Krishna Kumar, General Surgeon, Department of General Surgery, All India Institute of Medical Sciences, Bhopal, India, Tel: +91 9479824972, E-mail: [email protected]

Received Date: July 15, 2024

Publication Date: September 11, 2024

Citation: Kumar K, et al. (2024). A Rare Case of Acute Mesenteric Ischemia Associated with Multiple Intestinal Perforations. Surgeries. 4(1):11.

Copyright: Kumar K, et al. © (2024).

ABSTRACT

Introduction: Acute Mesenteric Ischemia is an uncommon surgical emergency with significant mortality caused by the reduced blood supply to the intestines, which leads to inflammation and necrosis of the gut. Due to its rapid progression and association with high mortality, it causes significant challenges in the diagnosis and management of the disease. Case Presentation: This is a case of a 53-year-old male brought to emergency with complaints of bilious discharge through a midline laparotomy scar and two abdominal drains, with features of septicemic shock. He was operated on prior to admission at our institute for gangrenous small bowel. Pre-operative ECG was suggestive of atrial fibrillation, for which Amiodarone was given. After surgery, the patient developed an acute onset fistula and multiple intestinal perforations, which required re-exploration and extensive surgical repair. Conclusion: Acute mesenteric ischemia should be considered in cases of acute abdomen in elderly patients with cardiac illness presenting with abdominal pain. Prompt diagnosis and treatment should be initiated to ameliorate morbidity and mortality, and a re-look laparotomy must be considered in selected cases.

Keywords: Acute Mesenteric Ischemia, Intestinal Perforations, Anastomotic Dehiscence, Septic Shock