Bowel necrosis following endovascular revascularization for chronic mesenteric ischemia: a case report and review of the literature
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
BMC Gastroenterology 2013, 13:118 doi:10.1186/1471-230X-13-118Published: 19 July 2013
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.
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.
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.