Abstract
A 69-year-old man who was injured in the abdomen by a cultivator was carried to our ER and diagnosed with bleeding in the abdominal cavity. Emergent laparotomy revealed mesenteric injury. A 100-cm segment of the ileum was resected and reconstructed with functional end-to-end anastomosis method using 4 linear staplers. After suturing the abdominal wall, ventricular fibrillation occurred and the patient was resuscitated by sternal compression and defibrillation. After the surgery, fever was persistent for more than 30 days and abdominal CT suggested intestinal necrosis. The second laparotomy revealed a rupture at the staple line and ileocecal resection was performed. Macroscopically, the intestinal wall anal to the anastomosis was thick and the lumen was very narrow over on 8-cm long intestinal segment, and it was microscopically diagnosed as ischemic enteritis. Ischemic enteritis after intestinal resection is not common, and in this case, it was possibly caused by ventricular fibrillation that occurred just after the reconstruction.
