Abstract

ACUTE INTESTINAL OBSTRUCTION SECONDARY TO SUPERIOR MESENTERIC ARTERIAL THROMBOSIS – A CASE REPORT

Monaji Sanjana and Ankit Thakur*

ABSTRACT

Intestinal obstruction is one of the rare diseases which can be potentially life-threatening has it leads to intestinal infarction. This can be due to arterial thrombosis or embolism. There are two main types of acute mesenteric ischemia include non-occlusive mesenteric ischemia and occlusive mesenteric arterial ischemia which is subdivided into acute mesenteric arterial embolism, acute mesenteric arterial thrombosis. Intestinal obstruction secondary to superior mesenteric artery thrombosis accounts around 6% of the cases of intestinal obstruction. SMAT can leads to rapid and complete blockage of the artery that leads to infarction of the bowel followed by peritonitis. In most of the cases the appearance of the symptoms occur previously. Here we report a case of 55-year-old male who presented with intestinal obstruction as initial presentation of SMAT. The patient underwent exploratory laparotomy with resection of gangrenous segment with side to side anastomosis with peritoneal lavage and drain.

Keywords: Intestinal obstruction, abdominal pain, superior mesenteric artery thrombosis, anticoagulation, side to side anastomosis.