Kim Do YEON, Jo Keon HYON, Kim Hwan WOOK

İnternal iliyak arterleri iki taraflı açık olan hastada endovasküler abdominal anevrizma tamiri sonrası iskemik kolit: Olgu sunumu

İskemik kolit, inferior mezenter arter ve iki taraflı internal iliyak arterlerin stent grefti veya trombüs ile tıkanması sonucu oluşan, endovasküler abdominal anevrizma tamirinin iyi bilinen bir komplikasyonudur. Ancak, ameliyat sonrası iskemik kolit, internal iliyak arterlerin iki taraflı açık olduğu hastalarda nadiren görülür. 4.7 cm boyutunda yırtılmamış abdominal aort anevrizması olan 72 yaşında erkek hastada, internal iliyak arterler ve inferior mezenter arter açık olmasına rağmen, endovasküler abdominal anevrizma tamiri sonrasında iskemik kolit gelişti. İskemik kolitin şiddeti hafif ila orta düzeyde olduğu için, hasta konservatif olarak tedavi edildi ve sorunsuz bir şekilde taburcu edildi.

Ischemic colitis after endovascular abdominal aneurysm repair in a patient with bilaterally patent internal iliac arteries: a case report

Ischemic colitis is a well-known complication of endovascular abdominal aneurysm repair caused by the blockage of the inferior mesenteric artery and bilateral internal iliac arteries by a stent graft or thrombus. However, postoperative ischemic colitis is rarely seen in patients with bilaterally patent internal iliac arteries. A 72-year- old male patient with a 4.7 cm non-ruptured abdominal aortic aneurysm developed ischemic colitis following endovascular abdominal aneurysm repair, although internal iliac arteries and inferior mesenteric artery were patent. As the ischemic colitis was mild to moderate in severity, the patient was treated conservatively and uneventfully discharged.

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