Diagnosis Of Mesenteric Ischemia Research Articles

A rare cause of abdominal pain in pregnancy - mesenteric artery thrombosis and miscarriage in a 34-year-old patient

BackgroundMesenteric arterial thrombosis is an extremely rare thrombotic event, especially during pregnancy, that can cause rapid fatal consequences unless the patient receives early definitive treatment.Case presentationWe report the case of a 34-year-old female presenting in her seventh week of gestation with severe abdominal pain who was promptly diagnosed with mesenteric artery occlusion amidst incipient miscarriage. The patient underwent a successful mesentery artery embolectomy, recovered and was later diagnosed with elevated factor VIII activity.ConclusionThe diagnosis of mesenteric ischemia should be considered in pregnant women presenting with severe abdominal pain and any prior predisposing factors. Our case highlights the pivotal role of the emergency physician in maintaining a high index of suspicion coupled with timely and determined action. The prognosis of this high mortality condition depends on prompt diagnosis, early definite management and successful multidisciplinary cooperation.

Diagnostic and prognostic value of the ratio of mean platelet volume to platelet count in acute mesenteric ischemia

Introduction: Acute mesenteric ischemia (AMI) is a condition in which there is a sudden cessation of blood supply to a particular intestinal segment and consequent cellular damage. Although it has a low incidence of approximately 0.09-0.2% of all emergency surgery admissions, AMI is a severe condition that can cause high early mortality. A direct relationship between an increased mean platelet volume (MPV) and acute thrombotic events has been shown in recent years. we aimed to find out whether the diagnosis of mesenteric ischemia and the amount of bowel segment affected by ischemia will guide clinicians preoperatively with these markers
 Material and Method: A total of 57 cases with bowel resection due to mesenteric ischemia were included in the study. The gender, age, serum platelet (PLT), MPV, white blood cell count (WBC), neutrophil count (NEU), lymphocyte count (LYM), Albumin, CRP, neutrophil-lymphocyte ratio (NLR), MPV/Platelet Count, and CRP-albumin ratio (CAR) levels at the time of admission, operation time, length of resected bowel segment, length of hospital stay, presence of necrosis and perforation from pathology reports, and length of bowel segment leading to necrosis were scanned.
 Results: A moderate negative correlation was found between the length of resected bowel segment and PLT (P

Diagnostic and prognostic value of the ratio of mean platelet volume to platelet count in acute mesenteric ischemia

Introduction: Acute mesenteric ischemia (AMI) is a condition in which there is a sudden cessation of blood supply to a particular intestinal segment and consequent cellular damage. Although it has a low incidence of approximately 0.09-0.2% of all emergency surgery admissions, AMI is a severe condition that can cause high early mortality. A direct relationship between an increased mean platelet volume (MPV) and acute thrombotic events has been shown in recent years. we aimed to find out whether the diagnosis of mesenteric ischemia and the amount of bowel segment affected by ischemia will guide clinicians preoperatively with these markers
 Material and Method: A total of 57 cases with bowel resection due to mesenteric ischemia were included in the study. The gender, age, serum platelet (PLT), MPV, white blood cell count (WBC), neutrophil count (NEU), lymphocyte count (LYM), Albumin, CRP, neutrophil-lymphocyte ratio (NLR), MPV/Platelet Count, and CRP-albumin ratio (CAR) levels at the time of admission, operation time, length of resected bowel segment, length of hospital stay, presence of necrosis and perforation from pathology reports, and length of bowel segment leading to necrosis were scanned.
 Results: A moderate (moderate) negative correlation was found between the length of resected bowel segment and PLT (P

Factors that Predict Survival From Mesenteric Ischemia in the Geriatric Patient: Not a Death Sentence.

The mortality rate from mesenteric ischemia is reported to be as high as 80%. The goal of our study was to identify demographic and clinical predictors of post-operative mortality and discharge disposition among elderly patients with mesenteric ischemia. All patients 65years and older who underwent emergency surgery (ES) for the management of mesenteric ischemia in the American College of Surgeons-National Surgical Quality Improvement Program database from 2007 to 2017 were included. Univariate analyses and logistic regressions were used to identify independent predictors of mortality and discharge disposition. A total of 2438 patients met inclusion criteria, with a median age of 77years and 60.8% being female. The 30-day mortality of the overall cohort was 31.5% and the 30-day morbidity was 65.3%. The following were the major predictors of 30-day mortality: pre-operative diagnosis of septic shock [OR: 2.46, (95% CI: 1.94-3.13)], dialysis dependence [OR: 2.05, (95% CI: 1.45-2.90)], recent weight loss [OR: 1.80, (95% CI: 1.16-2.79)], age ≥80years [OR: 1.67, (95% CI: 1.25-2.23)], and ventilator dependence [OR: 1.65, (95% CI: 1.23-2.23)]. In the absence of these predictors, survival rate was 84%. The major predictors of discharge to post-acute care (PAC) included age ≥80years [OR: 3.70, (95% CI: 2.50-5.47)] and pre-operative septic shock [OR: 2.20, (95% CI: 1.42-3.41)]. In the geriatric patient, a diagnosis of mesenteric ischemia does not equate to an automatic death sentence. The presence of certain pre-operative risk factors confers a high risk of mortality, whereas their absence is associated with a high chance of survival.

SP3.1.17 Assessment of the utility of CT to predict the requirement for resection at laparotomy in patients presenting with acute mesenteric arterial insufficiency

Abstract Introduction Mesenteric ischaemia as a consequence of arterial atherosclerosis is associated with significant morbidity and mortality. Practice has been influenced by the rise in cross-sectional imaging. In Glasgow a policy of laparotomy for patients presenting with acute mesenteric ischaemia at the time of mesenteric revascularisation has been adopted. We have sought to define whether CT can predict visceral necrosis and a requirement for tissue resection at the primary revascularisation. Methods This was a retrospective review of interventions performed for mesenteric ischaemia. Radiological variables described in the context of mesenteric ischaemia were defined. The primary CT report was reviewed to define whether these features were recorded and whether a diagnosis of mesenteric ischaemia was suggested. Imaging was then retrospectively reviewed with reference to the dataset by a radiologist. The radiologist was asked to offer a subjective opinion as to whether there was mesenteric infarction. These data were compared with laparotomy findings. Results There were 129 interventions performed for mesenteric ischaemia over the study period and 147 laparotomies. There was no specific radiological variable that was consistently reported in the primary or secondary CT review. However when bowel wall thinning, hypoattenuation or portal venous gas reported (independently) they seemed to be specific as in each case there was mesenteric infarction at laparotomy. Conclusion Even with retrospective radiological assessment there is no reliable feature that will predict mesenteric infarction and a requirement for tissue resection. As such a policy of laparotomy in patients who considered physiologically well enough would appear to be justified.

Torsion but not torsion! An uncommon case report.

In Australia, abdominal and pelvic pain are the single most common presenting complaint to the Emergency department (ED) accounting for 4.4% of all ED visits [1]. Mesenteric ischemia is generally seen in the elderly patients with underlying atherosclerotic or embolic occlusive diseases and it’s uncommon in young adults who don’t typically have any associated comorbidities such as cardiac dysrhythmia or coronary artery disease, therefore the diagnosis of mesenteric ischemia particularly in young females, is often delayed or misinterpreted. However, there are few differential diagnoses in this cohort (i.e. ectopic pregnancy, ovarian torsion and ruptured ovarian cysts) which need to be considered and excluded emergently. Here we present an uncommon presentation of sudden onset abdominal pain in a young woman with acute presentation of bowel ischemia.

Acute mesenteric ischemia: A review of the main imaging techniques and signs

Acute mesenteric ischaemia is an abdominal emergency because reduced blood flow to bowel loops rapidly leads to irreversible necrosis and death.This paper reviews the different conditions (arterial, venous, low-flow states) that can result in reduced blood flow to bowel loops.Since the clinical and laboratory findings are nonspecific, imaging tests play an important role in the diagnosis of mesenteric ischaemia. Multidetector computed tomography is the first-choice technique for the initial workup in cases of suspected acute mesenteric ischaemia because it can rule out other causes of acute abdominal pain. It is important to know the characteristic radiological signs of this entity, because early diagnosis is essential to prevent progression to life-threatening intestinal necrosis.

Acute mesenteric ischaemia in refractory shock on veno-arterial extracorporeal membrane oxygenation.

Acute mesenteric ischaemia is a severe complication in critically ill patients, but has never been evaluated in patients on veno-arterial extracorporeal membrane oxygenation (V-A ECMO). This study was designed to determine the prevalence of mesenteric ischaemia in patients supported by V-A ECMO and to evaluate its risk factors, as well as to appreciate therapeutic modalities and outcome. In a retrospective single centre study (January 2013 to January 2017), all consecutive adult patients who underwent V-A ECMO were included, with exclusion of those dying in the first 24 hours. Diagnosis of mesenteric ischaemia was performed using digestive endoscopy, computed tomography scan or first-line laparotomy. One hundred and fifty V-A ECMOs were implanted (65 for post-cardiotomy shock, 85 for acute cardiogenic shock, including 39 patients after refractory cardiac arrest). Overall, median age was 58 (48-69) years and mortality 56%. Acute mesenteric ischaemia was suspected in 38 patients, with a delay of four (2-7) days after ECMO implantation, and confirmed in 14 patients, that is, a prevalence of 9%. Exploratory laparotomy was performed in six out of 14 patients, the others being too unstable to undergo surgery. All patients with mesenteric ischaemia died. Independent risk factors for developing mesenteric ischaemia were renal replacement therapy (odds ratio (OR) 4.5, 95% confidence interval (CI) 1.3-15.7, p=0.02) and onset of a second shock within the first five days (OR 7.8, 95% CI 1.5-41.3, p=0.02). Conversely, early initiation of enteral nutrition was negatively associated with mesenteric ischaemia (OR 0.15, 95% CI 0.03-0.69, p=0.02). Acute mesenteric ischaemia is a relatively frequent but dramatic complication among patients on V-A ECMO.

Isquemia mesentérica aguda: Revisión de las principales técnicas y signos radiológicos

Acute mesenteric ischemia is an abdominal emergency because reduced blood flow to bowel loops rapidly leads to irreversible necrosis and death.This paper reviews the different conditions (arterial, venous, low-flow states) that can result in reduced blood flow to bowel loops.Since the clinical and laboratory findings are nonspecific, imaging tests play an important role in the diagnosis of mesenteric ischemia. Multidetector computed tomography is the first-choice technique for the initial workup in cases of suspected acute mesenteric ischemia because it can rule out other causes of acute abdominal pain. It is important to know the characteristic radiological signs of this entity, because early diagnosis is essential to prevent progression to life-threatening intestinal necrosis.

Predictive and prognostic value of L-lactate, D-dimer, leukocyte, C-reactive protein and neutrophil/lymphocyte ratio in patients with acute mesenteric ischemia.

Acute mesenteric ischemia (AMI) is a disease that causes an ischemia in the intestines due to the obstruction of the mesenteric vessels feeding the intestines, with a mortality rate reaching up to 80%. The overall incidence of AMI is 0.63 per 100,000 people. Early diagnosis and treatment are very important for survival. There is no ideal biomarker that can reflect different types and stages of AMI. This study investigated the predictive and prognostic value of L-lactate, D-dimer, leukocyte, C reactive protein (CRP) and neutrophil/lymphocyte ratio (NLR) in the preoperative period were investigated in patients operated for AMI. A total of 44 patients operated for AMI between 2015 and 2019 were evaluated in this study. Demographic, clinical, radiological, laboratory and surgical findings of the patients included in this study were recorded. The patients were divided into groups according to the etiological type of AMI. L-lactate, D-dimer, CRP, leukocyte, and NLR levels of these patients were determined. Statistical analysis was performed according to AMI groups. The mean age of the 44 patients included in this study was 67.7 years and the female to male ratio was 0.76. According to tomography results, 31.8% (n=14) of the patients had mesenteric artery embolism, 29.5% (n=13) had mesenteric artery thrombus, 25% (n=11) had mesenteric vein thrombus and 13.6% (n=6) had non-occlusive mesenteric ischemia. When AMI types were compared, D-dimer and CRP levels were found to be significantly different from other markers. The total length of stay in the hospital was found to be significantly correlated with the L-lactate (p=0.047) and CRP (p=0.045) levels. In the analyses, CRP was determined to be the common biomarker that could be used in the diagnosis of mesenteric ischemia in all AMI types. Particularly, the CRP level can be used effectively in the preoperative period to diagnose AMI and to determine its subtype and clinical course. However, L-lactate, D-dimer, leukocyte and NLR are markers that have no predictive value in the diagnosis of all AMI subtypes.

Su2062 – Measurement of Mucosal Mitochondrial Oxygen During Upper Endoscopy As a Potential Novel Test for the Diagnosis of Mesenteric Ischemia

Su2062 – Measurement of Mucosal Mitochondrial Oxygen During Upper Endoscopy As a Potential Novel Test for the Diagnosis of Mesenteric Ischemia

Sensitivity and Specificity of the Platelet-Lymphocyte Ratio and the Neutrophil-Lymphocyte Ratio in Diagnosing Acute Mesenteric Ischemia in Patients Operated on for the Diagnosis of Mesenteric Ischemia: A Retrospective Case-Control Study

Aim: The present study aims to determine whether various hematological parameters and ratios of patients could be used to diagnose AMI. Materials and Methods: The subjects of the study are the patients who were hospitalized with an acute mesenteric ischemia (AMI) pre-diagnosis and underwent surgery as a consequence. The patients who were determined to have the diagnosis of AMI intraoperatively are categorized in the AMI Group. The patients whose operations do not reveal AMI (negative exploration) are categorized in the Control Group. These two groups are compared in terms of hematological parameters and rates. Results: In the study, the PLR (p = 0.017), NLR (p = 0.33), PDW (0.023), RDW (p = 0.025) values are significantly higher in the AMI group compared to the control group while the LYMP (p = 0.023) count is significantly lower. Conclusions: For the patients admitted to the emergency clinics with suspected AMI, the increased PLR, NLR, PDW, and RDW values together with the reduced lymphocyte count can be used to support the diagnosis.

Tomodensitometric Aspects of Acute Intestinal Ischemia: A Prospective Study of 20 Cases

Background: Acute intestinal ischemia is an abdominal suffering occasioned by a sudden reduction of mesenteric blood circulation. It is a rare and potentially serious medical-surgical emergency, deadly in 50% to 100% of cases. Diagnosis is known to be difficult at the early stage during which a well-conducted treatment may help reduce mortality. Multi-detector scanners were assessed to be far more sensitive and appropriate for the diagnosis of mesenteric ischemia than angiography. Objective: Study the tomodensitometric aspects of acute intestinal ischemia, and the traps of late diagnosis, in order to optimize the care and improve the prognosis of this disease. Patients and Methods: This is a prospective, longitudinal and descriptive study covering a period of nine (9) months. We have included all cases of acute intestinal ischemia. Results: Twenty (20) cases of acute intestinal ischemia were registered i.e. a frequency of 2.2 cases per month. The average age of the patients was 67.8 years with 0.7 as sex ratio. Abdominal pain was noted in all cases. History of cardiovascular disease was found in seven (7) cases. Abdominal angioscan was performed in fifteen (15) cases. There was a suspected diagnosis upon request in ten (10) cases. The main intestinal lesions were the lack of parietal enhancement (13 cases) and parietal thickening (12 cases). There were sixteen (16) cases of acute mesenteric ischemia and four (4) cases of ischemic colitis. The acute mesenteric ischemia was arterial in eleven (11) cases, venous in two (2) cases and mixed in two (2) cases. Diagnosis was made at the stage of intestinal infarction in eleven (11) cases. Ten (10) patients were operated and 10 others were treated medically. Thirteen (13) cases of death were registered. Conclusion: Acute intestinal ischemia is a rare but serious disease. Abdominal pain is the main ground for consultation. Diagnosis is often late and focuses on abdominal CT angiography. An early diagnosis could help improve its prognosis.

Stroke prediction with CHA2DS2-VASc score in patients with mesenteric ischemia without atrial fibrillation-insights from a nationwide cohort

BackgroundThe current study sought to evaluate the accuracy of CHA2DS2-VASc score for ischemic stroke prediction in patients with mesenteric ischemia without atrial fibrillation (AF). MethodsThe study participants included patients aged ≥18years with a new diagnosis of mesenteric ischemia during hospitalization between January 1, 2000 and December 31, 2011. Individuals with atrial fibrillation (AF) or atrial flutter during the study period were excluded. The study participants were followed up until the ischemic stroke appeared or they were censored due to withdrawal from this program, mortality, or the end of the study period, whichever came first. Cox proportional hazards regression models were applied for ischemic stroke risk stratification in the study participants by CHA2DS2-VASc score. The c-statistic based on the receiver operating characteristic (ROC) analysis was applied to investigate the accuracy of CHA2DS2-VASc score for ischemic stroke risk discrimination. ResultsA total of 24039 study participants were enrolled. Ischemic stroke incidence increased from 1.54% in CHA2DS2-VASc score of 0 to 9.23% in CHA2DS2-VASc score of 6 or more. Moreover, the Kaplan–Meier curve with a log rank test demonstrated that patients with a higher CHA2DS2-VASc score were associated with an increased cumulative incidence rate of ischemic stroke during the follow-up period (p<0.001). The discriminatory performance of the CHA2DS2-VASc score resulted in C-statistics of 0.65(95% CI=0.63–0.66) for predicting ischemic stroke risk among patients with mesenteric ischemia without AF. ConclusionsA higher CHA2DS2-VASc score is demonstrated to be associated with an increased risk of ischemic stroke among patients with mesenteric ischemia without comorbid AF.

Prognostic factors in patients with acute mesenteric ischemia.

Acute mesenteric ischemia, one of the causes of acute abdominal pain due to occlusion of the superior mesenteric artery, has a fatal course as a result of intestinal necrosis. There is no specific laboratory test to diagnose acute mesenteric ischemia. The basis of treatment in cases of acute mesenteric ischemia is composed of early diagnosis, resection of intestinal sections with infarction, regulation of intestinal blood flow, second look laparotomy when required, and intensive care support. The aim of this study is to investigate the factors affecting mortality in patients treated and followed-up with a diagnosis of acute mesenteric ischemia. Forty-six patients treated and followed-up with a diagnosis of acute mesenteric ischemia between January 1st, 2008 and December 31st, 2014 at the General Surgery Clinic of our hospitalwere retrospectively evaluated. The patients were grouped as survivor (Group 1) and dead (Group 2). Age, gender, accompanying disorders, clinical, laboratory and radiologic findings, duration until laparotomy, evaluation according to the Mannheim Peritonitis Index postoperative complications, surgical treatment applied, and type of ischemia and outcome following surgery were recorded. A total of 46 patients composed of 22 males and 24 females with a mean age of 67.5±17.9 and with a diagnosis of mesenteric ischemia were included in the study. Twenty-seven patients died (58.7%) while 19 survived (41.3%). The mean MPI score was 16.8±4.7 and 25.0±6 in Group 1 and Group 2, respectively, and the difference between the two groups was statistically significant (p<0,001). Fourteen of the 16 (51.9%) patients who had a Mannheim Peritonitis Index score of 26 or higher died while two of them survived (10.5%). Thirteen out of the 30 (48.1%) patients with a Mannheim Peritonitis Index score of 25 or lower died while 17 (89.5%) patients survived. The increased MPI score was significantly correlated withmortality (p=0.004). Suspicion of disease and early use of imaging in addition to clinical and laboratory evaluations are essential in order to decrease mortality rates in acute mesenteric ischemia. Prevention of complications with critical intensive care during the postoperative period aids in decreasingthe mortality rate. In addition, using the Mannheim Peritonitis Index can be helpful.

A case report of acute mesenteric ischemia post coronary artery bypass graft with concomitant aortic valve replacement

Introduction: the incidence of post-cardiac surgery gastrointestinal emergencies ranges between 0.4–2.9% and are often of varying diagnoses. Although acute mesenteric ischemia is infrequent, it represents 10–67% of these complications and carries an overall mortality rate of almost 95% of non-surgically treated patients compared to approximately 57% of surgically treated patients. the high number of mortalities is mainly due to its protean clinical presentations resulting in a delay in diagnosis. case report: We report a case of acute mesenteric ischemia in a patient who had undergone coronary artery bypass graft (cAbG) with concomitant aortic valve surgery. Progressive abdominal distention and rising lactate level were the features pointed towards diagnosis of mesenteric ischemia in this patient. based

Imaging findings in diagnosis of mesenteric ischemia: how can we be sure?

Mesenteric ischemia (MI) remains a complex disease entity characterized by acute or chronic perfusion abnormality to the GI tract. Because it presents with nonspecific symptoms and laboratory findings, MI remains a clinical diagnostic challenge. Given that MI is associated with high morbidity and mortality rates, early diagnosis remains critical for appropriate management and best clinical outcome. Over the past decade, significant technical improvements have been seen in computed tomography and MRI, particularly in their use for noninvasive angiographic imaging. These techniques are now the preferred test for initial evaluation of suspected MI. This article focuses on computed tomography and MRI features of MI in both the acute and chronic clinical settings, with a review of anatomy, etiopathogenesis and clinical features.

Nonocclusive mesenteric ischemia associated with ogilvie syndrome.

Nonocclusive mesenteric ischemia (NOMI) is one type of acute mesenteric ischemia. Colonic pseudoobstruction, known as Ogilvie syndrome, is a disorder defined by colonic distension in the absence of mechanical obstruction. A relationship between these diseases has not yet been reported, based on a review of the literature. We report a patient with NOMI secondary to Ogilvie syndrome. An 82-year-old woman reported three days of intermittent abdominal pain. Plain computed tomography scan showed colonic obstruction at the rectosigmoid colon. Colonoscopy was performed that showed a large amount of stool and no evidence of tumor or other physical causes of obstruction. We diagnosed the patient with Ogilvie syndrome and continued nonoperative management. On the third hospital day, she complained of abdominal distension. A repeat CT scan showed pneumatosis intestinalis in the small bowel and ascending colon, with portal venous gas. Emergency laparotomy was performed with diagnosis of mesenteric ischemia. Intraoperatively, there were multiple skip ischemic lesions in the small intestine and cecum. We resected the ischemic bowel and performed a distal jejunostomy. Her residual small bowel measured just 20 cm in length. Postoperatively, her general status gradually improved. She was discharged with total parenteral nutrition and a small amount of enteral nutrition.

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Introduction: Mesenteric ischemia (MI) is a significant cause of morbidity and mortality in the critically ill patient. The purpose of this study was to determine the reliability of metabolic acidosis in predicting outcomes in critically ill surgical patients. Methods: We retrospectively reviewed consecutive ICU admissions from January 2010 thru June 2012 with a discharge diagnosis of MI who underwent laparotomy. Data collected included age (dichotomized at age 60 years), gender, ICU, ventilator and hospital length of stay (LOS), APACHE II, SOFA, surgical resection, BMI, discharge disposition and mortality. Markers of acidosis were dichotomized at the median admission bicarbonate (BICARB) 22 mmol/l and at 2 and 4 mmol/l for serum lactate (LAC). Analysis was performed on admission and pre-operative serum LAC and BICARB levels. Results: 55 patients met the criteria for review, 11 patients did not have surgery and were excluded, leaving 44 subjects for analysis. Patient characteristics were: female 55%, age 71 ± 14 years, ICU LOS 7 ± 6 days, 91% required mechanical ventilation (3.7 ± 6 days), BMI 27 ± 7, median APACHE II 25 and median SOFA was 6 on day of surgery. 79% of patients had at least one LAC, 59% had ≥two and 82% had at least one BICARB measured. Only 57% of patients had pre-op acidosis. 68% of patients had small bowel involvement, 48% had large bowel and 23% had both. Age as a continuous variable was a significant (P=0.02, OR 0.8) risk factor for surgical resection. Younger patients had surgical resection more frequently than older patients (89% vs 13%, P<0.01). Overall mortality was 34%; there were no differences in gender, age, BMI, or severity of illness between the survivors and non-survivors. Lactate and BICARB had low a PPV (< 43%) for surgical resection and mortality. Conclusions: Mesenteric ischemia has a high mortality and is more common in patients over age 60 years. Measurement of LAC was frequent in patients with MI; however, pre-operative acidosis was not predictive of mortality or need for surgical resection. The utility of serial measurements of LAC and BICARB pre-operatively in patients with MI should be re-evaluated.

Ascaris lumbricoides in the Nasogastric Tube after Operation on a Patient with the Diagnosis of Acute Mesenteric Ischemia: Case Report

Ascaris lumbricoides is a comman intestinal helminths in humans. It is a parasite which commonly affects society with a low socioeconomic status, especially in tropical and rural areas. Ascaris lumbricoides infestation can lead to serious complications because of the mobility of the worms. The parasite can cause a variety of complications like intestinal obstruction, perforation, biliary obstruction, pancreatitis, peritonitis, liver abscess, cholangiohepatitis, volvulus, and gangrene, etc. A 59-year-old female patient hospitalized with the diagnosis of mesenteric ischemia was operated on for jejunal resection. On the 6th postoperative day, a worm was noticed emerging through the nasogastric tube. Ascaris lumbricoides was determined as a result of the examination microbiology laboratory. The patient was treated successfully with one dose of albendazole 200 mg 1x2. Our case describes a clinical situation of ascariasis observed after jejunal resection and emphasizes the importance of remaining aware of this rare complication of ascariasis.