Ashraf Waseem, Malik Sajad Ahmad, Hamid Arif, Wani Mohammad Saleem, Khawaja Rouf
Department of Urology and Renal Transplant, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, 190011, India.
Urol Case Rep. 2022 Aug 26;45:102201. doi: 10.1016/j.eucr.2022.102201. eCollection 2022 Nov.
Superior Mesenteric Artery (SMA) during renal surgery is rarely reported but potentially devastating complication. It can rarely occur in patients with distorted vascular anatomy like in large left renal tumors with vascular infiltration and bulky lymphadenopathy, or in the setting of re-do surgery with extensive scarring. Failure to recognize and repair an SMA injury may result in ischemic bowel and consequently high mortality. Herein, we present a case scenario of injury to the SMA during radical nephrectomy missed intraoperatively and managed conservatively in the post-operative period in view of collateral circulation to the gut.
肾手术期间肠系膜上动脉（SMA）损伤鲜有报道，但却是一种潜在的灾难性并发症。它很少发生在血管解剖结构扭曲的患者中，如伴有血管浸润和大量淋巴结病的巨大左肾肿瘤患者，或在有广泛瘢痕形成的再次手术情况下。未能识别和修复SMA损伤可能导致肠缺血，进而导致高死亡率。在此，我们介绍一例根治性肾切除术期间SMA损伤的病例，术中未发现，鉴于肠道的侧支循环，术后采取保守治疗。
