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Updated: Jun 17, 2026
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Isolated ileocolic artery occlusion presented with segmental bowel infarction: a case report
Hany M El Hennawy1, Mohamed Fahmy Abdalla, Abdelrahman El-Osta
1Department General Surgery, Al Khor Hospital, Hamad Medical Corporation, Doha, PO Box 3050, Qatar.
Cases Journal
|January 12, 2010
Summary
Acute mesenteric ischemia, a severe abdominal condition, demands prompt diagnosis and intervention. This case highlights rare right-sided colon and small bowel infarction from isolated IleoColic artery thrombosis.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Abdominal Imaging
Background:
- Acute mesenteric ischemia (AMI) is a critical surgical emergency with high mortality.
- Transmural acute bowel infarction, though rare, carries a worse prognosis than colon cancer.
- Segmental colonic ischemia commonly affects the splenic flexure and rectosigmoid; right-sided involvement is infrequent.
Purpose of the Study:
- To report a rare case of isolated right-sided colonic and terminal ileum infarction.
- To emphasize diagnostic challenges in acute colonic ischemia.
- To highlight the importance of early surgical intervention in mesenteric ischemia.
Main Methods:
- Case report presentation.
- Review of clinical presentation, diagnostic imaging, and surgical findings.
- Discussion of pathophysiology and management strategies for AMI.
Main Results:
- A patient presented with infarction of the terminal ileum, cecum, and ascending colon.
- The condition was attributed to isolated IleoColic artery thrombosis.
- Diagnosis was challenging due to non-specific clinical and radiological findings.
Conclusions:
- Isolated IleoColic artery thrombosis can cause extensive right-sided bowel infarction.
- Early diagnosis and surgical resection remain crucial for managing acute mesenteric ischemia.
- This case underscores the variability of AMI presentation and the need for high clinical suspicion.
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