Bhubaneswar, Aug. 10: A 43-year-old man suffering from Superior Mesenteric Artery (SMA) acute thrombosis with acute mesenteric ischemia, a critical condition involving the bowel system, has been successfully treated at the SUM Ultimate Medicare here recently.
The patient, who was referred to the hospital from Cuttack, was found with sepsis, sub-acute intestinal obstruction and fluid collection in the abdomen. He was admitted under Dr. Sambit Kumar Pattanayak, Associate Consultant in Interventional Radiology.
The patient was immediately shifted to the ICU and was diagnosed with SMA acute thrombosis and acute mesenteric ischemia after being subjected to CT angiogram, Dr. Pattanayak said.
Initially, the patient was taken for minimally invasive image guided surgery in the Cathlab. The approach was made through a pinhole from the left brachial arterty with the help of small catheters and wires up to the SMA to remove clots through pharmaco-mechanical thrombectomy.
The patient was then taken to the operation theatre for emergency exploratory laparotomy surgery. The surgeon found that only 30 to 40 per cent of the bowel loops were not functioning due to gangrene while the rest were normal, he said.
If the clots were not removed immediately then it would have completely damaged the bowel loops, Dr. Pattanayak said adding “SMA thrombosis is a life threatening condition and leads to 80 to 90 per cent mortality if not attended to urgently.”
The patient recovered subsequently and shifted to the ward from the ICU. When the sepsis came down he was discharged from the hospital, he said.
Background: Acute mesenteric ischemia (AMI) is a life-threatening medical condition that occurs when a sudden decreased perfusion to the intestines which leads to bowel infarction, and acute superior mesenteric artery embolism (ASMAE) is the main cause of AMI.
