Two Cases of Acute Superior Mesenteric Arterial Occlusion

Abstract

Herein, we report two cases of superior mesenteric arterial occlusion (SMAO) in which second look laparoscopy was necessary even though angiography was effective for primary treatment. [Case 1] A 44-year-old woman presented with severe abdominal pain. Computed tomography (CT) revealed SMAO and the superior mesenteric artery was recanalized by interventional radiology (IVR). Because she had abdominal pain after IVR, laparoscopy was performed to examine the intraperitoneal organs. Her bowels were not ischemic. She was discharged from the hospital on post-operative day 14. [Case 2] A 79-year-old-woman presented with severe abdominal pain. CT revealed SMAO and the superior mesenteric artery was recanalized by IVR. Because she had bloody stools after IVR, laparoscopy was performed to examine the intraperitoneal organs. Her bowels were not ischemic. She was discharged from the hospital on post-operative day 18. Because we had two cases of SMAO in which second look laparoscopy after IVR was necessary, we report these cases with a review of the literature.