Acute mesenteric ischemia revealing cirrhosis: about a clinical case.

Abstract

Acute mesenteric ischemia (AMI) is a rare and serious medical and surgical emergency, the prognosis of which depends on the early diagnosis and appropriate treatment. It is caused by acute or chronic interruption of splanchno-mesenteric blood flow. This interruption may be due to embolism, thrombosis or intestinal hypoperfusion. We report a case of acute mesenteric ischemia in a young subject in a National Hospital and University Center of Benin. He was a 23-year-old man with no history of admitting a diffuse abdominal pain, excruciating, sudden onset of torsion and associated vomiting and stopping of materials and gases. Emergency laparotomy revealed acute mesenteric ischemia with ileal necrosis. Ileal resection with endo-ileal endo- ileal anastomosis was performed. Etiological research has revealed cirrhosis of undetermined cause. The postoperative course was marked by short bowel syndrome and ascitic decompensation of cirrhosis. Under symptomatic treatment, vitamin and iron supplementation and diuretic evolution was favorable.