Download PDF
CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2024; 34(03): 549-552
DOI: 10.1055/s-0043-1778058
Case Report

Reperfusion Injury—Postendovascular Recanalization in Chronic Mesenteric Ischemia: A Rare Clinical Case Scenario

Vikash Jain 
1   Department of Radiology and Gastroenterology, N.M. Virani Wockhardt Hospital, Rajkot, Gujarat, India
,
Gowrish P. Kumar
1   Department of Radiology and Gastroenterology, N.M. Virani Wockhardt Hospital, Rajkot, Gujarat, India
,
Praful M. Kamani
1   Department of Radiology and Gastroenterology, N.M. Virani Wockhardt Hospital, Rajkot, Gujarat, India
,
Ashvin C Karavadiya
1   Department of Radiology and Gastroenterology, N.M. Virani Wockhardt Hospital, Rajkot, Gujarat, India
› Author Affiliations Funding None.
› Further Information
Also available at
   Permissions and Reprints

Abstract

Regardless of the number of vessels involved endovascular recanalization of mesenteric vessels is the treatment of choice for chronic mesenteric ischemia. Reperfusion injury post-endovascular recanalization in chronic mesenteric ischemia is a rare clinical scenario as it is mostly encountered in cases of acute mesenteric ischemia. Here in, we describe a case with characteristic clinical and imaging findings of reperfusion syndrome, post-endovascular recanalization of chronically occluded superior mesenteric artery and severely stenosed celiac trunk in a patient with chronic mesenteric ischemia.

Keywords

chronic mesenteric ischemia - reperfusion bowel injury - endovascular recanalization

Patient Consent

Informed consent was obtained from the patient for publication of the case report and accompanying images.




Publication History

Article published online:
10 January 2024

© 2024. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Hohenwalter EJ. Chronic mesenteric ischemia: diagnosis and treatment. Semin Intervent Radiol 2009; 26 (04) 345-351
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 Huber TS, Björck M, Chandra A. et al. Chronic mesenteric ischemia: clinical practice guidelines from the Society for Vascular Surgery. J Vasc Surg 2021; 73 (1S): 87S-115S
    CrossrefPubMedGoogle Scholar
  • 3 Robles-Martín ML, Reyes-Ortega JP, Rodríguez-Morata A. A rare case of ischemia-reperfusion injury after mesenteric revascularization. Vasc Endovascular Surg 2019; 53 (05) 424-428
    CrossrefPubMedGoogle Scholar
  • 4 Altintas Ü, Lawaetz M, de la Motte L. et al. Endovascular treatment of chronic and acute on chronic mesenteric ischaemia: results from a national cohort of 245 cases. Eur J Vasc Endovasc Surg 2021; 61 (04) 603-611
    CrossrefPubMedGoogle Scholar
  • 5 Garzelli L, Nuzzo A, Hamon A. et al. Reperfusion injury on computed tomography following endovascular revascularization of acute mesenteric ischemia: prevalence, risk factors, and patient outcome. Insights Imaging 2022; 13 (01) 194
    CrossrefPubMedGoogle Scholar
  • 6 Nadatani Y, Watanabe T, Shimada S, Otani K, Tanigawa T, Fujiwara Y. Microbiome and intestinal ischemia/reperfusion injury. J Clin Biochem Nutr 2018; 63 (01) 26-32
    CrossrefPubMedGoogle Scholar