Case Report
Isolated ileocolic artery occlusion presented with segmental bowel infarction: a case report
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* Corresponding author: Hany M El Hennawy hennawyhany@hotmail.com
1 Department General Surgery, Al Khor Hospital, Hamad Medical Corporation, Doha, PO Box 3050, Qatar
2 Department of Radiology, Al Khor Hospital, Hamad Medical Corporation, Doha, PO Box 3050, Qatar
Cases Journal 2009, 2:9153 doi:10.1186/1757-1626-2-9153
Published: 7 December 2009Abstract
Acute mesenteric ischemia is a serious acute abdominal condition requiring early diagnosis and intervention to improve the outcome. Although transmural acute bowel infarction represents about 1% of all cases of acute abdomen, it has a higher annual mortality rate than colon cancer. It tends to affect the colon in segmental fashion, mostly the splenic flexure and rectosigmoid portions of the colon. Isolated ischemia of the right side of the colon is rarely reported, especially in association with shock. Diagnosis of acute colonics ischemia is challenging as it may easily be confused with other non ischemic conditions both clinically and radiologically. Surgical resection is still the main curative approach. We present a case of segmental terminal ileum, cecum and part of ascending colon infarction due to isolated IleoColic artery thrombosis.