Vol. 7, Issue 3, Part B (2023)

This case report emphasizes the importance of early detection and intervention in mesenteric ischemia. We present a 42-year-old patient with a history of splenectomy who presented with hemodynamic instability, severe epigastric pain, vomiting, and no bowel movement or gas for three days, along with an unspecified fever. Laboratory tests showed abnormal values, and an abdominal CT scan revealed dysmorphic liver, portal cavernoma, peritoneal effusion, and superior mesenteric vein thrombosis. Surgical intervention was necessary, and the patient underwent exploratory laparotomy, which revealed necrosis of the small intestine that was resected. The patient experienced complications such as pulmonary embolism, and a second surgery was performed, but it was negative. The patient was discharged with follow-up care in the internal medicine department.

This case report highlights the importance of recognizing the signs and symptoms of mesenteric ischemia and prompt intervention to improve patient outcomes.