Doctors At Bhubaneswar’s SUMUM Cure Patient With Life-Threatening Acute Mesenteric Ischemia

Bhubaneswar: A 43-year-old man suffering from Superior Mesenteric Artery (SMA) acute thrombosis with acute mesenteric ischemia (AMI), a life-threatening condition involving the bowel system, has been successfully treated by doctors at SUM Ultimate Medicare (SUMUM) here recently.

The patient, referred to the hospital from Cuttack, was admitted under Dr Sambit Kumar Pattanayak, Associate Consultant in Interventional Radiology.

He had sepsis, sub-acute intestinal obstruction and fluid collection in the abdomen.

The patient was immediately shifted to the ICU and CT angiogram revealed he had SMA acute thrombosis and AMI.

The patient was initially taken for minimally invasive image-guided surgery in the Cathlab. The approach was made through a pinhole from the left brachial artery, with the help of small catheters and wires up to the SMA, to remove clots through pharmaco-mechanical thrombectomy, Dr Pattanayak said.

The patient was then shifted to the operation theatre for emergency exploratory laparotomy surgery.

The surgeon found only 30 to 40 per cent of the bowel loops were not functioning due to gangrene while the rest were normal.

If the clots were not removed immediately, it could have completely damaged the bowel loops, Dr Pattanayak.

“SMA thrombosis is a life-threatening condition and leads to 80 to 90 per cent mortality if not attended to urgently,” he explained.

The patient recovered well and was shifted from ICU to the ward. Once the sepsis came down, he was discharged from the hospital.