Abstract
A 67-year-old man developed strangulated ileus during clinical observation for an abdominal aneur_??_m, underwent an excision of the small intestine, and then, on the second postoperative day, the _??_eurysm ruptured which was successfully treated by synthetic replacement.
It is generally thought inappropriate to perform a possibly contaminated gastrointestinal tract _??_eration and synthetic replacement simultaneously. Further, if both operations are to be performed on _??_two-step approach, no standerdized view on the appropriate interval between the operations has been _??_tablished. In this case, we had to perform the replacement 53 hours after the gastrointestinal surgery _??_r extended necrosis of the intestine, but the postoperative course was uneventful without any severe _??_mplications. We also present some notes on the operative procedures and postoperative management _??_patients with gastrointestinal disease and abdominal aneurysm.
