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Open Access Case report

Bowel necrosis following endovascular revascularization for chronic mesenteric ischemia: a case report and review of the literature

Takuro Shirasu1, Akihiro Hosaka1, Hiroyuki Okamoto1, Kunihiro Shigematsu1, Yasushi Takeda2, Tetsuro Miyata1* and Toshiaki Watanabe3

Author Affiliations

1 Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan

2 Department of Surgery, Tokyo Rosai Hospital, Tokyo, Japan

3 Department of Surgical Oncology, The University of Tokyo, Tokyo, Japan

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BMC Gastroenterology 2013, 13:118  doi:10.1186/1471-230X-13-118

Published: 19 July 2013

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.

Keywords:
Chronic mesenteric ischemia; Endovascular revascularization; Embolization; Bowel necrosis; Embolic protection device