Multidisciplinary management of an intussuscepted ilio-mesenteric bypass causing an enteric fistula

Abstract

Acute mesenteric ischemia is a life-threatening condition that requires immediate surgical revascularization. Enteric fistulization following bypass for mesenteric ischemia is a rare complication that carries significant morbidity and mortality. This case report discusses the management of a 57-year-old man with prior acute on chronic mesenteric ischemia who presented with enteric fistulization of a right ilio-mesenteric bypass. The patient required explant of the ilio-mesenteric bypass, iliac reconstruction with right-to-left common iliac transposition, and small bowel resection. This case highlights the successful diagnosis and multidisciplinary management of this unusual, yet life-threatening complication following ilio-mesenteric bypass for acute mesenteric ischemia.