A case report of retrograde open mesenteric stenting for acute mesenteric ischemia

Abstract

Occasionally, acute mesenteric ischemia cases present with vessels, which are very difficult to cannulate via the percutaneous method. Furthermore, there is a dire need to preserve as much bowel as possible in these cases. Another problem is the long operative time required for open revascularization in these cases and the associated risks. We present such a case of acute mesenteric ischemia with gangrenous distal ileum in an 87-year-old female with multiple comorbidities who was treated with retrograde open mesenteric stenting and resection and anastomosis of the gangrenous segment of the bowel. We recommend vascular surgeon involvement in all cases of laparotomies for acute mesenteric ischemia and we should consider retrograde open mesenteric stenting if cannulation of mesenteric arteries via percutaneous approach is not possible.