An Operated Case of Acute Superior Mesenteric Artery Occlusion with Hepatic-Portal Venous Gas

Abstract

The prognosis of acute superior mesenteric artery occlusion with hepatic-portal venous gas (HPVG) is usually poor. prognosis. A 67-year-old man was admitted to the department of neurosurgery of our hospital with intracranial hemorrhage. He complained of abdominal distension and his blood pressure gradually decreased. An abdominal plain CT scan showed ascites and HPVG. The patient was transferred to our department, and an emergency laparotomy was performed about 12 hours after the onset. Extensive bowel necrosis existed from the jejunum to the hepatic flexure of the colon, and the necrotic bowel tissue was resected, followed by construction of a jejunostomy. The length of the residual jejunum was about 50cm. Survival of this patient was achieved by performing the operation at a relatively early period together with intensive care postoperatively, and he was transferred to the Department of Neurosurgery 43 days after surgery.