Surgical treatment of chronic mesenteric ischemia with splenic artery-to-superior mesenteric artery bypass: a case report

Yunus Nazlı,

doi:10.5606/tgkdc.dergisi.2013.5292

Yunus Nazlı¹, Necmettin Çolak¹, Hüseyin Şahin², Kayıhan Akın³, İsmail Olgun Akkaya¹, Mikdat Bozer², Ömer Çakır¹

¹Department of Cardiovascular Surgery, Medicine Faculty of Fatih University, Ankara, Turkey
²Department of General Surgery, Medicine Faculty of Fatih University, Ankara, Turkey
³Department of Radiology, Medicine Faculty of Fatih University, Ankara, Turkey

DOI : 10.5606/tgkdc.dergisi.2013.5292

Chronic mesenteric ischemia is a rare, but important cause of abdominal pain with high mortality and morbidity rates. Postprandial abdominal pain, sitophobia and weight loss are the important clinical signs and symptoms. The main goal of the treatment is to relieve patient’s symptoms by restoration of intestinal perfusion and to prevent intestinal necrosis. Doppler ultrasound, computed tomography angiography, magnetic resonance angiography and conventional angiography are used in the diagnosis of chronic mesenteric ischemia. Surgical or endovascular interventions as well as medical therapy may be used in the treatment of chronic mesenteric ischemia. In this article, we present a 60-year-old female case of chronic mesenteric ischemia with inferior and superior mesenteric artery occlusion, who was successfully treated with splenic arteryto- superior mesenteric artery bypass surgery.

Keywords : Bypass; chronic mesenteric ischemia; splenic artery; superior mesenteric artery

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