2021 Volume 41 Issue 6 Pages 491-494
A 44-year-old man was diagnosed as having non-occlusive mesenteric ischemia the day after he underwent endovascular stent-graft repair for acute Stanford B-type aortic dissection. He was transferred to our department on the same day, and we performed a total of four surgeries, including resection of most of the jejunum, ileum, ascending colon, half of the proximal transverse colon, and jejuno-colonic anastomosis. After central venous port placement, he has discharged on home total parenteral nutrition on day 166. After discharge, he developed repeated catheter-related bloodstream infections, but ethanol lock therapy and a disinfecting cap prevented further catheter-related bloodstream infections, and the same catheter could be used for a long time. We report a case of recurrent catheter-related bloodstream infections associated with short bowel syndrome developing after extensive surgery for non-occlusive mesenteric ischemia, in whom the recurrent catheter-related blood stream infections were successfully prevented and treated by ethanol lock therapy and a disinfecting cap.
