Ischemic colitis following repair of ruptured abdominal aortic aneurysm
R. E. Welling, L. R. Roedersheimer, J. J. Arbaugh and J. J. Cranley
Seven patients--six of whom died--underwent surgical repair of a ruptured
abdominal aortic aneurysm and developed postoperative ischemic colitis. All
patients were male, with a mean age of 62 years. Resection of the necrotic
colon with a colostomy was necessary within the first postoperative week
for the six patients who did not survive and on the 40th postoperative day
for the patient who lived. The colon is vulnerable to ischemic necrosis
after an aortic rupture because of tissue hypoperfusion and impaired
mesenteric artery circulation due to preexistent occlusive disease. In
high-risk patients, fiberoptic colonoscopy and examination of stool for
occult blood, with immediate abdominal exploration, if necessary, are
important in the early postoperative period. Symptoms may develop
insidiously when tissue damage is limited to the mucosal layer, but delay
in resecting the ischemic segment allows for the extension of necrosis,
with perforation.
Reliability of Selective Surveillance Colonoscopy in the Early Diagnosis of Colonic Ischemia After Successful Ruptured Abdominal Aortic Aneurysm Repair
Megalopoulos et al.
VASC ENDOVASCULAR SURG 2008;41:509-515.
ABSTRACT
Aggressive Management of Nonocclusive Ischemic Colitis Following Aortic Reconstruction
Menegaux et al.
Arch Surg 2006;141:678-682.
ABSTRACT
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Steps to Minimize Ischemic Colitis Following Abdominal Aortic Surgery
Sanfelippo
VASC ENDOVASCULAR SURG 1999;33:175-178.
ABSTRACT
Nonocclusive Ischemic Colitis Following Glycerin Enema in a Patient with Coronary Artery Disease: A Case Report
Chang et al.
ANGIOLOGY 1995;46:747-752.
ABSTRACT
Ruptured Abdominal Aortic Aneurysms: Morbidity and Mortality Rates in 80 Consecutive Cases
Masclans et al.
VASC ENDOVASCULAR SURG 1994;28:459-466.
ABSTRACT
Predictive Model for Colonic Ischemia Following Abdominal Aortic Aneurysm Repair
Gerhart et al.
VASC ENDOVASCULAR SURG 1994;28:161-166.
ABSTRACT
Ischemic Colitis Following Ruptured Abdominal Aortic Aneurysm
Rosenthal et al.
VASC ENDOVASCULAR SURG 1992;26:712-717.
ABSTRACT
Ischemic Colitis Preceding Ruptured Aortic Aneurysm A Case Report
Mittal
VASC ENDOVASCULAR SURG 1988;22:58-59.
ABSTRACT
