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Updated: Aug 7, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Abdominal aortic aneurysm in a patient presenting with ischemic colitis
S Tatebe1, H Kashimura, A Uehara
1Departments of Thoracic and Cardiovascular Surgery, Mito Saiseikai General Hospital, Mito City, Japan. statebe@yahoo.com
Abstract:
A 76-year-old man with an abdominal aortic aneurysm (AAA) initially presented with ischemic colitis, which was improved by conservative treatment. Preoperative assessment by computerized axial tomography scanning and aortography revealed an infrarenal type AAA with mural thrombus, stenoses of the right common iliac artery and the left internal iliac artery. The patient underwent aortoiliac bypass surgery with resection of the stenoses, and reconstruction of the left internal iliac artery. No complications including bowel ischemia, were noted postoperatively. This case emphasized the potential benefits of the extraperitoneal approach to the aorta, reconstruction of both internal iliac arteries, and use of prostaglandin E1.
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