Complications of non?occlusive mesenteric ischaemia #MMPMID29123750
Weledji EP
Acute Med Surg 2016[Jan]; 3 (1): 50-2 PMID29123750show ga
Case: A 65?year?old arteriopath with a history of myocardial infarction 5 months previously presented with classical signs of mesenteric infarction that led to a right hemicolectomy with an end ileostomy. Outcome: Postoperative complications occurred due to unusually large volume ileostomy output in the subsequent 4 weeks, resulting in severe volume depletion and the sequelae that required intensive care support. These were triggered and prolonged by two episodes of intra?abdominal sepsis. Conclusions: Sepsis?induced high ileostomy output following intestinal resection for non?occlusive mesenteric ischaemia is a serious complication. Early restoration of intestinal continuity following bowel resection for established infarction may prevent this complication.