Abstract
Introduction: Gastric Mucosal Ischemia (GMI) following left hepatectomy is a rare post operative complication, never described in literature. The presented image illustrates the uncommon postoperative complication of Gastric Mucosal Ischemia (GMI) following Liver Resection (LR). Case presentation: A 60-year-old woman underwent left hepatectomy with lymphadenectomy for intrahepatic cholangiocarcinoma. The patient developed intense abdominal pain in 9th Postoperative Day (POD). The subsequent CT scan described: “a 6 cm biloma, pressing and displacing the antral region of the stomach, air emboli in the short gastric veins, edematous wall thickening of the fundus with regions of reduced or absent mucosal enhancement, highlighted with green arrows”. Following conservative treatment, the patient fully recovered, being discharged on the 28th POD. Conclusion: GMI is an infrequent complication encountered after LR. In this case it is attributed to an exceptional observation: the mechanical effects of the biloma causing compression and displacement of gastric vessels, resulting in compromised blood supply to the gastric mucosa and subsequent ischemia.
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