Kazan medical journalKazan medical journal0368-48142587-9359Eco-Vector921810.17816/KMJ2018-708Research ArticleClinical cases of surgical treatment of bowel infarction caused by acute mesenteric ischemia combined with colon cancerAkhmetzyanovF Shdrvasiliy21@gmail.comValievN Adrvasiliy21@gmail.comEgorovV Idrvasiliy21@gmail.comRozengartenM Vdrvasiliy21@gmail.comBurbaD Vdrvasiliy21@gmail.comKazan State Medical UniversityTatarstan Regional Clinical Cancer Center0808201899470871103082018Copyright © 2018, Akhmetzyanov F.S., Valiev N.A., Egorov V.I., Rozengarten M.V., Burba D.V.2018<p>The article contains description of such serious pathology in emergency surgery as bowel infarction caused by acute mesenteric ischemia in two patients with colorectal cancer admitted to Tatarstan regional clinical cancer center. Patients were admitted for emergency indications with the clinic of an acute abdomen. Both patients underwent an emergency surgery of laparotomy, enterectomy with colon resection and anastomosis. Both patients had satisfactory immediate postoperative results. One patient died 8 months later due to the progression of the underlying disease, the second one is alive to the present day with a satisfactory quality of life and the only complain of frequent loose bowel movements. Most patients with acute mesenteric ischemia are operated on with trial diagnostic laparotomy, and mortality rate for this pathology reaches 90% or more. The presented clinical cases familiarize physicians with an opportunity of successful surgical treatment of patients with acute mesenteric ischemia combined with colon cancer and demonstate expediency and need for surgical interventions with extensive colon resection.</p>bowel infarctionmesenteric ischemiaperitonitisintestinal necrosiscolorectal cancersubtotal colectomyинфаркт кишечниканарушение мезентериального кровообращенияперитонитнекроз кишечникаколоректальный раксубтотальная колэктомия[Ritz J.P., Buhr H.J. Acute mesenteric ischemia. Chirurg. 2011; 82 (10): 863–866; 868–870. DOI: 10.1007/s00104-011-2098-4.][Leone M., Bechis C., Baumstarck K. et al. Outcome of acute mesenteric ischemia in the intensive care unit: a retrospective, multicenter study of 780 cases. Intens. Care Med. 2015; 4 (41): 667–676. DOI: 10.1007/s00134-015-3690-8.][Kärkkäinen J.M., Lehtimäki T.T., Manninen H., Paajanen H. Acute mesenteric ischemia is a more common cause than expected of acute abdomen in the elderly. J. Gastrointest. Surg. 2015; 8 (19): 1407–1414. DOI: 10.1007/s11605-015-2830-3.][Gifford S.M., Sarr M.G., Kamath P.S. Treatment of mesenteric venous thrombosis. In: Mesenteric vascular disease. G.S. Odcrich ed. New York: Springer Science + Business Media. 2015; 325–334. DOI: 10.1007/978-1-4939-1847-824.][Karabulut K., Gül M., Dündar Z.D. et al. Diagnostic and prognostic value of procalcitonin and phosphorus in acute mesenteric ischemia. Ulus. Travma Acil. Cerrahi. Derg. 2011; 17 (3): 193–198. DOI: 10.5505/tjtes.2011.70493.][Kuhelj D., Kavcic P., Popovic P. Percutaneous mechanical thrombectomy of superior mesenteric artery embolism. Radiol. Oncol. 2013; 47 (3): 239–243. DOI: 10.2478/raon-2013-0029.][Wyers M., Shuja F. In patients with acute mesenteric ischemia does an endovascular or hybrid approach improve morbidity and mortality compared to open revascularization? Difficult Decisions in Vascular Surgery. Springer International Publishing. 2017: 221–233. DOI: 10.1007/978-3-319-33293-2_19.][Zettervall S.L., Lo R.C., Soden P.A. et al. Trends in treatment and mortality for mesenteric ischemia in the United States from 2000 to 2012. Ann. Vascul. Surg. 2017; 42: 111–119. DOI: 10.1016/j.avsg.2017.01.007.][Kozachenko A.V. Disturbance of mesenteric circulation as a matter of urgent practice. Meditsina neotlozhnykh sostoyaniy. 2007; 11 (4): 47–51. (In Russ.)]