Complications of non‐occlusive mesenteric ischaemia

Case A 65‐year‐old arteriopath with a history of myocardial infarction 5 months previously presented with classical signs of mesenteric infarction that led to a right hemicolectomy with an end ileostomy. Outcome Postoperative complications occurred due to unusually large volume ileostomy output in the subsequent 4 weeks, resulting in severe volume depletion and the sequelae that required intensive care support. These were triggered and prolonged by two episodes of intra‐abdominal sepsis. Conclusions Sepsis‐induced high ileostomy output following intestinal resection for non‐occlusive mesenteric ischaemia is a serious complication. Early restoration of intestinal continuity following bowel resection for established infarction may prevent this complication.