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Post traumatic arterial occlusive mesenteric ischemia: a rare case report

Khalid Khan1, Fatema Bunajem1, Fatema Alkhan1

  • 1Radiology Department, Salmaniya Medical Complex, Bahrain.

Radiology Case Reports
|December 24, 2021
PubMed

Insights

Mesenteric ischemia, a serious condition causing bowel necrosis, can result from blunt abdominal trauma. Early diagnosis and surgical intervention are crucial for survival in these high-mortality cases.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Trauma Surgery

Background:

  • Mesenteric ischemia is a rare but life-threatening condition with high mortality rates.
  • It involves inadequate blood supply leading to bowel wall necrosis.
  • Acute arterial mesenteric ischemia is typically linked to emboli, atherosclerosis, or aortic issues.

Observation:

  • A 60-year-old male presented with abdominal pain after blunt abdominal trauma.
  • Computed tomography revealed superior mesenteric artery thrombosis and small bowel ischemia.
  • The patient underwent surgical resection of necrotic bowel and anastomosis.

Findings:

  • Blunt abdominal trauma can precipitate acute occlusive mesenteric ischemia.
  • Superior mesenteric artery thrombosis was confirmed as the cause of bowel ischemia in this case.
  • Prompt surgical intervention was required to manage the necrotic bowel.

Implications:

  • Clinicians should consider mesenteric ischemia in patients with abdominal pain post-blunt trauma.
  • Timely diagnosis and management significantly impact patient morbidity and mortality.
  • This case highlights the importance of recognizing trauma-induced mesenteric ischemia for improved outcomes.
Keywords:
Acute mesenteric ischemiaBowel ischemiaGangreneMesenteric ischemiaSuperior mesenteric artery thrombosisTrauma

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