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Journal of Case Reports
Successful Laparoscopic Management of Acute Mesenteric Ischaemia with Gangrenous Small Bowel: World’s First Reported Case
S Islam1,2, A Maughn1,2, O Payne1,2, V Bheem1, P Harnarayan1,2
1San Fernando General Hospital, San Fernando, Trinidad and Tobago; 2Department of Clinical Surgical Science, University of the West Indies, St. Augustine, Trinidad and Tobago.
Corresponding Author:
Dr. Shariful Islam 
Email: shar_islam7@hotmail.com
Received: 25-JAN-2023 Accepted: 20-MAR-2023 Published Online: 25-MAY-2023
DOI: http://dx.doi.org/10.17659/01.2023.0014
Background: The use of laparoscopy in the management of Acute Mesenteric Ischemia (AMI) has been a topic of debate. Its application is generally limited to highly selective cases in the early stages, primarily for diagnostic purposes and potentially as a therapeutic option. In recent times, laparoscopy has emerged as an alternative to 2nd look laparotomy in an increasing number of cases. However, there remains a lack of reported cases detailing the successful laparoscopic management of AMI with gangrenous small bowel in the English literature. Case Report: We report the case of a 59-year-old male patient who presented with symptoms suggestive of AMI. A Computed Tomography (CT) scan confirmed the diagnosis, revealing gangrenous changes in the small bowel. The ischemic segment was meticulously resected using laparoscopic techniques, ensuring an adequate margin of healthy tissue. Postoperatively, the patient showed remarkable improvement. The recovery was uneventful, with no significant complications observed. Conclusion: Despite the limited recommendations for laparoscopy in AMI cases, our experience highlights the potential therapeutic utility of laparoscopy in carefully selected patients with AMI and gangrenous small bowel. 
Keywords : Abdominal Pain, Computed Tomography, Gangrenous Small Bowel, Laparoscopy, Surgery.
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