A Case of Chronic Mesenteric Ischemia with Stomach Pain during Dialysis

Abstract

An 80-year-old man with stomach pain during dialysis was admitted to our hospital. Abdominal contrast-enhanced computed tomography (CT) and angiography showed superior mesenteric artery (SMA) stenosis and inferior mesenteric artery (IMA) occlusion; therefore, chronic mesenteric ischemia (CMI) was diagnosed. It was suggested that endovascular procedure may not be suitable because of severe calcification of the aorta. Accordingly, surgical revascularization was planned. Furthermore, considering that the abdominal aorta and right iliac artery were significantly calcified, anti-anatomical route bypass from left external iliac artery with great saphenous vein was selected. Postoperatively, the patient did not develop stomach pain.