Clinical cases of surgical treatment of bowel infarction caused by acute mesenteric ischemia combined with colon cancer

Abstract

The article contains description of such serious pathology in emergency surgery as bowel infarction caused by acute mesenteric ischemia in two patients with colorectal cancer admitted to Tatarstan regional clinical cancer center. Patients were admitted for emergency indications with the clinic of an acute abdomen. Both patients underwent an emergency surgery of laparotomy, enterectomy with colon resection and anastomosis. Both patients had satisfactory immediate postoperative results. One patient died 8 months later due to the progression of the underlying disease, the second one is alive to the present day with a satisfactory quality of life and the only complain of frequent loose bowel movements. Most patients with acute mesenteric ischemia are operated on with trial diagnostic laparotomy, and mortality rate for this pathology reaches 90% or more. The presented clinical cases familiarize physicians with an opportunity of successful surgical treatment of patients with acute mesenteric ischemia combined with colon cancer and demonstate expediency and need for surgical interventions with extensive colon resection.

Keywords

bowel infarction / mesenteric ischemia / peritonitis / intestinal necrosis / colorectal cancer / subtotal colectomy

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RIGHTS & PERMISSIONS

Akhmetzyanov F.S., Valiev N.A., Egorov V.I., Rozengarten M.V., Burba D.V.