Cecal Ischemia Requiring Ileocecectomy Following Endovascular Aneurysm Repair: A Case Report

Cecal ischemia following endovascular aneurysm repair (EVAR) is an exceptionally rare complication. To our knowledge, isolated cecal ischemia requiring major resection has not been previously documented as a distinct case report in the PubMed-indexed English-language literature. Here, we present the case of a 67-year-old male who underwent EVAR for an abdominal aortic aneurysm (AAA). After stent-graft deployment, he had a patent superior mesenteric artery. He was discharged home on postoperative day 1. On postoperative day 2, he presented to an outside hospital with groin and abdominal pain, and imaging revealed cecal pneumatosis. He underwent emergent exploratory laparotomy and ileocecectomy with primary anastomosis. Pathology demonstrated transmural ischemic colitis.