Stafforini Nicolas A, Murphy Blake E, Sorber Rebecca, Scott John W, Bisgaard Erika K, Singh Niten
Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, WA.
Division of Trauma, Burn and Critical Care, Department of Surgery, University of Washington, Seattle, WA.
J Vasc Surg Cases Innov Tech. 2025 Jun 4;11(5):101866. doi: 10.1016/j.jvscit.2025.101866. eCollection 2025 Oct.
Acute mesenteric ischemia is a life-threatening condition that requires immediate surgical revascularization. Enteric fistulization following bypass for mesenteric ischemia is a rare complication that carries significant morbidity and mortality. This case report discusses the management of a 57-year-old man with prior acute on chronic mesenteric ischemia who presented with enteric fistulization of a right ilio-mesenteric bypass. The patient required explant of the ilio-mesenteric bypass, iliac reconstruction with right-to-left common iliac transposition, and small bowel resection. This case highlights the successful diagnosis and multidisciplinary management of this unusual, yet life-threatening complication following ilio-mesenteric bypass for acute mesenteric ischemia.
急性肠系膜缺血是一种危及生命的疾病，需要立即进行手术血管重建。肠系膜缺血旁路术后肠瘘形成是一种罕见的并发症，具有较高的发病率和死亡率。本病例报告讨论了一名57岁男性患者的治疗情况，该患者既往有慢性肠系膜缺血急性发作病史，此次因右髂-肠系膜旁路肠瘘就诊。患者需要切除髂-肠系膜旁路，行右向左髂总动脉转位的髂动脉重建术，以及小肠切除术。本病例突出了对这种急性肠系膜缺血髂-肠系膜旁路术后不常见但危及生命的并发症的成功诊断和多学科管理。
