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Updated: Sep 15, 2025

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Multidisciplinary management of an intussuscepted ilio-mesenteric bypass causing an enteric fistula
Nicolas A Stafforini1, Blake E Murphy1, Rebecca Sorber1
1Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, WA.
Abstract:
Acute mesenteric ischemia is a life-threatening condition that requires immediate surgical revascularization. Enteric fistulization following bypass for mesenteric ischemia is a rare complication that carries significant morbidity and mortality. This case report discusses the management of a 57-year-old man with prior acute on chronic mesenteric ischemia who presented with enteric fistulization of a right ilio-mesenteric bypass. The patient required explant of the ilio-mesenteric bypass, iliac reconstruction with right-to-left common iliac transposition, and small bowel resection. This case highlights the successful diagnosis and multidisciplinary management of this unusual, yet life-threatening complication following ilio-mesenteric bypass for acute mesenteric ischemia.
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