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Intestinal ischemia: A rare and less common complication after laparoscopic cholecystectomy-A case report and
Mohammad Javad Ghamari1, Hamed Beyzaii2, Behnoush Bahraminejad3
1Department of General Surgery, Faculty of Medicine, Mashhad Medical Sciences Islamic Azad University Mashhad Iran.
Key Clinical Message:
Patients with a history of persistent mesenteric ischemia should not undergo laparoscopy. Mesenteric ischemia must be kept in mind for patients who develop nonspecific abdominal symptoms following laparoscopic surgeries.
Abstract:
During laparoscopic cholecystectomy (LC), the rise in Intra-Abdominal Pressure due to carbon dioxide insufflation can reduce blood flow through splanchnic vessels, potentially leading to intestinal ischemia. A 72-year-old woman with a history of diabetes, hypertension, ischemic heart disease, and hyperlipidemia underwent LC. She was discharged but readmitted 4 days later due to peritonitis. Ischemic jejunum loops were found during surgery.
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