ArticleCureus2026
Multistage Bowel Salvage Through Surgical Resection and Superior Mesenteric Artery Revascularization in Acute-on-Chronic Mesenteric Ischemia: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
1 author.
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Abstract
We report a case of acute-on-chronic mesenteric ischemia (AOCMI) in an 85-year-old woman presenting with progressive postprandial abdominal pain, signs of panperitonitis, and free intraperitoneal air. Emergency laparotomy revealed diffuse small bowel ischemia without clear demarcation, reflecting acute ischemia superimposed on chronic hypoperfusion. Intraoperative indocyanine green (ICG) fluorescence angiography enabled selective resection of nonviable bowel, preserving potentially salvageable intestine. Delayed recognition of a nine-month history of chronic mesenteric ischemia (CMI) prompted staged endovascular revascularization of the superior mesenteric artery (SMA). Despite transient short bowel syndrome (SBS) requiring parenteral nutrition, bowel continuity was ultimately restored. This case highlights the diagnostic challenge of AOCMI and demonstrates that selective bowel salvage combined with staged multidisciplinary intervention can preserve bowel function and quality of life even in elderly high-risk patients.
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