Reasearch Awards nomination

Email updates

Keep up to date with the latest news and content from Journal of Medical Case Reports and BioMed Central.

Open Access Case report

Intestinal ischemia following laparoscopic surgery: a case series

Waleed Al-Khyatt1*, James D Thomas2, David J Humes3 and Dileep N Lobo3

Author Affiliations

1 Division of Surgery, School of Graduate Entry Medicine and Health, University of Nottingham, Royal Derby Hospital, Uttoxetter Road, Derby DE22 3DT, UK

2 Department of Radiology, Nottingham University Hospitals, Queen’s Medical Centre, Nottingham, UK

3 Division of Gastrointestinal Surgery, Nottingham Digestive Diseases Centre NIHR Biomedical Research Unit, Nottingham University Hospitals, Queen’s Medical Centre, Nottingham, UK

For all author emails, please log on.

Journal of Medical Case Reports 2013, 7:25  doi:10.1186/1752-1947-7-25

Published: 21 January 2013

Abstract

Introduction

Intestinal ischemia is a rare complication of laparoscopic surgery. Its prognosis depends on a high index of suspicion and effective early treatment.

Case presentation

In the present report, we describe three cases where intestinal ischemia developed following laparoscopic surgery. Case 1 concerns a 52-year-old Caucasian man who developed large bowel ischemia following laparoscopic adjustable gastric band surgery. Case 2 concerns an 82-year-old Caucasian woman who developed fatal intestinal ischemia following laparoscopic cholecystectomy. Case 3 concerns a 58-year old Caucasian woman who developed right-sided lower intestinal ischemia following open cholecystectomy.

Conclusions

Intestinal ischemia is a rare complication of laparoscopic surgery. The identification of high-risk patients is an essential primary preventive measure. A high index of suspicion is required to make an early diagnosis, which may help improve outcomes.