Superior Mesenteric Artery Thrombosis

 Acute mesenteric ischemia is a rare. It is characterized by a high mortality rate. This may be associated with a variety of congenital prothrombotic disorders. A prompt diagnosis is a prerequisite for successful treatment. The treatment of choice remains laparotomy and thrombo-endarterectomy, although some prefer an endovascular approach.
A second-look laparotomy could be required to evaluate viable intestinal handles. we support a laparoscopic second-look. The possibility of evaluating the arteriotomy, during a repeated laparotomy with a Doppler ultrasound, is crucial to show a new thrombosis. Although the prognosis of acute mesenteric ischemia due to an acute arterial mesenteric thrombosis remains poor, a prompt diagnosis, aggressive surgical treatment and supportive intensive care unit could improve the outcome for patients with this condition.