©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Pathophysiol. Sep 10, 2019; 10(2): 29-35
Published online Sep 10, 2019. doi: 10.4291/wjgp.v10.i2.29
Published online Sep 10, 2019. doi: 10.4291/wjgp.v10.i2.29
Successful management of adhesion related small bowel ischemia without intestinal resection: A case report and review of literature
Pantelis Vassiliu, Vasiliki Ntella, George Theodoroleas, Zisis Mantanis, Ioanna Pentara, Eleni Papoutsi, Aikaterini Mastoraki, Nikolaos Arkadopoulos, 4th Department of Surgery, National and Kapodistrian University of Athens, Attikon University Hospital, Athens 12462, Greece
Author contributions: Vassiliu P, Mastoraki A and Arkadopoulos N designed the report; Mastoraki A, Ntella V and Theodoroleas G collected the patient’s clinical data; Mantanis Z, Pentara I and Papoutsi E provided relevant figures; Mastoraki A, Vassiliu P and Arkadopoulos N analysed the data and wrote the paper.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment. Nevertheless, patient’s initials or characteristics are not exposed.
Conflict-of-interest statement: The authors declare that no conflict of interest exists.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Aikaterini Mastoraki, MD, PhD, Academic Research, 4th Department of Surgery, National and Kapodistrian University of Athens, Attikon University Hospital, Rimini street, 12462, Chaidari, Athens 12462, Greece. kmastoraki@med.uoa.gr
Telephone: +30-6932-577710 Fax: +30-21-05326412
Received: July 4, 2019
Peer-review started: July 16, 2019
First decision: August 2, 2019
Revised: August 16, 2019
Accepted: August 21, 2019
Article in press: August 21, 2019
Published online: September 10, 2019
Processing time: 67 Days and 15.1 Hours
Peer-review started: July 16, 2019
First decision: August 2, 2019
Revised: August 16, 2019
Accepted: August 21, 2019
Article in press: August 21, 2019
Published online: September 10, 2019
Processing time: 67 Days and 15.1 Hours
Core Tip
Core tip: Intraabdominal adhesions are the most common cause of small bowel obstruction which occasionally leads to intestinal ischemia (InIs). InIs can be a life-threatening condition that requires high index of suspicion because the clinical signs are mild and you should rely for diagnosis in computed tomography findings and lactate levels. Lactate, if present is a good indicator of the progress or regression of the disease. Diagnosis of InIs leads to immediate operation. Conservative surgical approach avoiding resection of ischemic bowel, could lead to reversal of InIs and should be used even when minimum signs of viability are present.