Massive intestinal infarction following retroperitoneoscopic right lumbar sympathectomy
The adverse physiological effects of pneumo and retro-peritoneum are relatively well known. However, the clinical implications of compromised mesenteric circulation through several mechanical and physiological mechanisms are not as well recognized. We describe a fatal case of intestinal infarction f...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2006-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2006;volume=2;issue=4;spage=222;epage=223;aulast=Rulli |
| _version_ | 1818127639525720064 |
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| author | Rulli Francesco Galata Gabriele Micossi Chiara Dell'Isola Carlo |
| author_facet | Rulli Francesco Galata Gabriele Micossi Chiara Dell'Isola Carlo |
| author_sort | Rulli Francesco |
| collection | DOAJ |
| description | The adverse physiological effects of pneumo and retro-peritoneum are relatively well known. However, the clinical implications of compromised mesenteric circulation through several mechanical and physiological mechanisms are not as well recognized. We describe a fatal case of intestinal infarction following an elective retroperitoneoscopic right sympathectomy. The patient was a 88-year-old man who died 30 hours after an uneventful anesthesia and right endoscopic lumbar sympathectomy. An emergency explorative laparotomy revealed a massive intestinal infarction due to thrombosis of the superior mesenteric artery. We reviewed the literature on laparoscopic procedures and mesenteric ischemia. To our knowledge, this is the first reported case of intestinal infarction following retro-pneumoperitoneum. We conclude that the presence of a severe multidistrectual? arteriopathy may represent a major risk factor in retroperitoneoscopic procedures. |
| first_indexed | 2024-12-11T07:20:33Z |
| format | Article |
| id | doaj.art-fbadcdbba5d8475bb985e4478c1069a0 |
| institution | Directory Open Access Journal |
| issn | 0972-9941 |
| language | English |
| last_indexed | 2024-12-11T07:20:33Z |
| publishDate | 2006-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-fbadcdbba5d8475bb985e4478c1069a02022-12-22T01:16:06ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99412006-01-0124222223Massive intestinal infarction following retroperitoneoscopic right lumbar sympathectomyRulli FrancescoGalata GabrieleMicossi ChiaraDell'Isola CarloThe adverse physiological effects of pneumo and retro-peritoneum are relatively well known. However, the clinical implications of compromised mesenteric circulation through several mechanical and physiological mechanisms are not as well recognized. We describe a fatal case of intestinal infarction following an elective retroperitoneoscopic right sympathectomy. The patient was a 88-year-old man who died 30 hours after an uneventful anesthesia and right endoscopic lumbar sympathectomy. An emergency explorative laparotomy revealed a massive intestinal infarction due to thrombosis of the superior mesenteric artery. We reviewed the literature on laparoscopic procedures and mesenteric ischemia. To our knowledge, this is the first reported case of intestinal infarction following retro-pneumoperitoneum. We conclude that the presence of a severe multidistrectual? arteriopathy may represent a major risk factor in retroperitoneoscopic procedures.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2006;volume=2;issue=4;spage=222;epage=223;aulast=RulliIntestinal infarctionlaparoscopyretroperitoneoscopyretro-pneumoperitoneum |
| spellingShingle | Rulli Francesco Galata Gabriele Micossi Chiara Dell'Isola Carlo Massive intestinal infarction following retroperitoneoscopic right lumbar sympathectomy Journal of Minimal Access Surgery Intestinal infarction laparoscopy retroperitoneoscopy retro-pneumoperitoneum |
| title | Massive intestinal infarction following retroperitoneoscopic right lumbar sympathectomy |
| title_full | Massive intestinal infarction following retroperitoneoscopic right lumbar sympathectomy |
| title_fullStr | Massive intestinal infarction following retroperitoneoscopic right lumbar sympathectomy |
| title_full_unstemmed | Massive intestinal infarction following retroperitoneoscopic right lumbar sympathectomy |
| title_short | Massive intestinal infarction following retroperitoneoscopic right lumbar sympathectomy |
| title_sort | massive intestinal infarction following retroperitoneoscopic right lumbar sympathectomy |
| topic | Intestinal infarction laparoscopy retroperitoneoscopy retro-pneumoperitoneum |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2006;volume=2;issue=4;spage=222;epage=223;aulast=Rulli |
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