MECHANICAL THROMBECTOMY OF SMA- A CASE REPORT

Mesentric Ischemia occurs most commonly due to occlusion of superior mesentric vessels. Treatment options vary depending on the time of presentation and the extent of disease. Here presenting a interesting case of SMA thrombosis in a 65 years female for which Mechanical Thrombectomy was done.65 years female presented with Complete thrombosis of Superior mesentric artery with patchy gangrene of of a segment of jejunum. We proceeded with Mechanical thrombectomy of SMA with resection of the segment of jejunum with Jejunostomy .Patient started on Heparin postoperatively and also given both enteral and parenteral nutrition. She was discharged on postoperative day 30.Acute thromboembolic occlusion of the superior mesentric artery is a condition with a serious prognosis. Despite considerable advances in medical diagnosis and treatment, mesentric vascular occlusion still has a poor prognosis with a inhospitable mortality rate of 59 to 93%. Although the prognosis of mesentric ischemia is poor, a prompt diagnosis, aggressive surgical treatment and supportive intensive care could improve the outcome of this condition.