Abstract
An 83-year-old man underwent an operation for ischemic ileal necrosis. One month postoperatively, he presented with acute abdominal pain, and computed tomography revealed recurrence of ileal necrosis. Resection of the small intestine was planned following angioplasty of the superior mesenteric artery. In the angiography suite, he underwent percutaneous catheterization via the left common femoral artery. However, angioplasty of the superior mesenteric artery failed, and he was transferred to the operating room where he underwent a laparotomy and angioplasty of the superior mesenteric artery using the pull-through technique. The necrotic small intestine was concomitantly resected. The pull-through technique performed via a laparotomy contributed to a successful angioplasty.
