THE CHALLENGING MANAGEMENT OF ACUTE MESENTERIC ISCHEMIA: A CASE REPORT OF A 45-YEAR-OLD WOMAN WITH SHORT BOWEL SYNDROME

Andreea  Pușcașu; Dan Nicolae  Păduraru; Alexandra  Bolocan; Daniel  Ion; Florentina  Mușat; Octavian  Andronic

doi:10.33695/rojes.v5i2.74

Andreea Pușcașu Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Dan Nicolae Păduraru Carol Davila University of Medicine and Pharmacy, Bucharest, Romania & University Emergency Hospital of Bucharest, Romania
Alexandra Bolocan Carol Davila University of Medicine and Pharmacy, Bucharest, Romania & University Emergency Hospital of Bucharest, Romania
Daniel Ion Carol Davila University of Medicine and Pharmacy, Bucharest, Romania & University Emergency Hospital of Bucharest, Romania
Florentina Mușat Carol Davila University of Medicine and Pharmacy, Bucharest, Romania & General Surgery Department of University Emergency Hospital of Bucharest, Romania
Octavian Andronic Carol Davila University of Medicine and Pharmacy, Bucharest, Romania & General Surgery Department of University Emergency Hospital of Bucharest, Romania & Research Institute of the University of Bucharest, Bucharest, Romania

DOI: https://doi.org/10.33695/rojes.v5i2.74

Keywords: acute mesenteric ischemia, short bowel syndrome, parenteral nutrition

Abstract

This case report explores the fatal prognosis of acute mesenteric ischemia leading to short bowel syndrome in a 45-year-old female patient. Acute mesenteric ischemia, a rare but critical condition, is caused by impaired blood flow to the intestines, necessitating prompt diagnosis and treatment to mitigate high mortality risks. The patient's case is complex, involving multiple surgeries for ischemic bowel resection, resulting in short bowel syndrome, characterized by a severe reduction in functional intestinal length. This syndrome presents significant challenges, including malnutrition and the necessity for long-term parenteral nutrition, which are difficult to manage and significantly impair quality of life. Despite surgical success in bowel resection, the patient's condition deteriorated due to complications from short bowel syndrome and resulted in her death six months post-surgery. This report underscores the need for early diagnosis and intervention in acute mesenteric ischemia, the limitations of current surgical treatments, and the dire consequences of short bowel syndrome. It also highlights the potential yet limited role of intestinal transplantation in managing these complex cases.

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