title: Acute bowel ischemia following spinal surgery.
abstract: Acute mesenteric ischemia is a morbid condition that may be difficult to diagnose due to nonspecific nature of its symptoms. To our knowledge, such a complication has not previously been reported after spinal surgery via the posterior approach. We describe the case of a 43-year-old woman who developed acute mesenteric ischemia several days after a surgical procedure for a lumbar spondylolisthesis via the posterior route. This chronic course is suggestive for venous intestinal ischemia. Prone position and hypotension during the procedure may have favored blood stasis and mesenteric vein occlusion in this patient with an inherited hypercoagulable state.
authors.affiliation: Service de Réanimation and the Service de Chirurgie, Hôpital Laennec, Creil, France. ali.mofredj@voila.fr
authors.forename: Ali
authors.initials: A
authors.lastname: Mofredj
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Traore
authors.forename: Brahim
authors.initials: B
authors.lastname: Beldjoudi
authors.forename: Djelloul
authors.initials: D
authors.lastname: Aoula
authors.forename: Raouf
authors.initials: R
authors.lastname: Douiri
mesh_terms: D000208:Acute Disease; D000328:Adult; D005260:Female; D006801:Humans; D007422:Intestines / Q000098:blood supply*; D007511:Ischemia / Q000209:etiology*; D008643:Mesentery / Q000098:blood supply*; D019637:Orthopedic Procedures / Q000009:adverse effects*; D013168:Spondylolisthesis / Q000601:surgery