A SURGICAL CASE OF ISCHEMIC ENTERITIS IN AN ACUTE PHASE

Abstract

We performed surgical resection for a case of ischemic enteritis in an acute phase.
A 61-year-old man was referred to our hospital because of abdominal pain and vomiting. Abdominal CT scan revealed strangulation ileus and an emergency operation was performed. Upon laparotomy, there were no findings of strangulation ileus, but ischemic change was found in the small intestine and the lesion was resected. Although conservative therapy is generally indicated for ischemic enteritis in the acute phase, the disease lacks in characteristic findings and it is difficult to diagnose preoperatively. Particularly in cases in which strangulation is suspected like in our case, an emergency operation is required.