2019 Volume 39 Issue 6 Pages 1141-1143
A 44-year-old woman with lower abdominal pain was admitted to our hospital. Abdominal contrast-enhanced computed tomography revealed a strangulated obstruction, and laparoscopic emergency surgery was performed. The small intestine was incarcerated and strangulated. The color of the small intestine recovered following removal of the strangulation. However, an area of inadequate blood flow in the strangulated intestine was observed. Judgment on whether intestinal resection or preservation was difficult. Thus, we laparoscopically performed indocyanine green fluorography (ICGF) for intestinal blood flow evaluation. ICGF findings revealed a contrast-enhanced effect from the vasa recta to the intestinal wall demonstrating an area inadequate blood flow within approximately 10 seconds, and the entire circumference of the intestinal wall revealed a contrast-enhanced effect, and the patient had an uncomplicated postoperative course. Our data suggest that it is possible to make a judgement on the quality of the intestinal blood flow using ICGF without performing intestinal resection.
