Intestinal ischemia: A rare and less common complication after laparoscopic cholecystectomy—A case report and literature review

• Published in: Clinical case reports Vol. 12; no. 10; pp. e9425 - n/a
• Main Authors: Ghamari, Mohammad Javad, Beyzaii, Hamed, Bahraminejad, Behnoush, Mesbah, Narges, Sobhani, Ahmadreza, Mirsadeghi, Ali
• Format: Journal Article
• Language: English
• Published: England John Wiley & Sons, Inc 01-10-2024; John Wiley and Sons Inc; Wiley
• Subjects: Abdomen; Acidosis; Anticoagulants; Blood pressure; Case Report; Case reports; Cholecystectomy; Colon; Guillain-Barre syndrome; Hospitals; intestinal ischemia; intra‐abdominal pressure; Ischemia; Laparoscopy; Literature reviews; mesenteric ischemia; Metabolism; Mutation; Pain; Patients; Physiology; pneumoperitoneum; Proteins; Small intestine; Surgery; Thrombosis; Vital signs; intra‐abdominal pressure; case report; pneumoperitoneum; cholecystectomy; intestinal ischemia; mesenteric ischemia
• ISSN: 2050-0904; 2050-0904
• DOI: 10.1002/ccr3.9425

Key Clinical Message
Patients with a history of persistent mesenteric ischemia should not undergo laparoscopy. Mesenteric ischemia must be kept in mind for patients who develop nonspecific abdominal symptoms following laparoscopic surgeries.
During laparoscopic cholecystectomy (LC), the rise in Intra‐Abdominal Pressure due to carbon dioxide insufflation can reduce blood flow through splanchnic vessels, potentially leading to intestinal ischemia. A 72‐year‐old woman with a history of diabetes, hypertension, ischemic heart disease, and hyperlipidemia underwent LC. She was discharged but readmitted 4 days later due to peritonitis. Ischemic jejunum loops were found during surgery.