[Mesenteric ischemia following a left radical nephrectomy].
The nephrectomy of a dialyzed renal insufficient patient is a frequent operation. Nevertheless, the vascular complication risks are increased for these patients. We report the case of a patient who had presented a mesenteric ischemia after a left nephrectomy. The cause of this ischemia was plurifactorial with, on one hand, a splanchnic hypoperfusion due to post-procedure hypovolemia caused by an important depletion during the dialysis as well as the use of vasoactive amines and, on the other hand, the peripheral mesenteric microvascularisation occlusion due to a kayexalate crystal deposit.
Demesmaeker
M
M
Service d'urologie, hôpital Tenon, 4, rue de la Chine, 75020 Paris, France. matdemes@hotmail.com
Argo
V
V
Tardieu
A
A
Sebe
P
P
D006801:Humans; D007511:Ischemia / Q000209:etiology*; D008297:Male; D008643:Mesentery / Q000098:blood supply*; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects* / Q000379:methods