Complete small bowel recovery after prolonged total venous occlusion.
Acute small bowel ischaemia is a mostly irreversible condition associated with high mortality. Here we report the case of a patient after severe abdominal trauma in whom the superior mesenteric vein (SMV) was completely occluded for more than 15 h in the absence of any collateral venous drainage. Following surgical reconstruction of the SMV and with scheduled relaparotomies for 5 days, the bowel showed slow recovery. Now the patient is well and on complete oral nutrition.
von Woellwarth
Julie
J
Klinik für Viszeral- und Transplantationschirurgie, Medizinische Hochschule Hannover, Germany.
zu Vilsendorf
Andreas Meyer
AM
Schlitt
Hans J
HJ
D000007:Abdominal Injuries / Q000150:complications; D000208:Acute Disease; D000328:Adult; D017091:Colitis, Ischemic / Q000209:etiology*; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D007813:Laparotomy / Q000379:methods; D008641:Mesenteric Vascular Occlusion / Q000209:etiology* / Q000601:surgery; D008642:Mesenteric Veins; D014949:Wounds, Nonpenetrating / Q000150:complications