Intestinal necrosis after abdominal aorta surgery

ABSTRACT

The intestinal necrosis are a complication for 1 to 2% of surgical interventions on the abdominal aorta. They occurs more after cure of aneurysm than after surgical management of an occlusive l‚sion, and colon is ten times more involved than the small intestine for anatomical considerations. Their seriousness [mortality higher than 50%] associated to better management of the other coexistant extra-digestive Lesions make them the second cause of mortality in the surgery of the abdominal aorta in several western reviews. Our study in which we report the etiopathogenetic, diagnostic and more particularly preventive features of this complication is based on 2 fatal cases of intestinal necrosis, seen on a 6 years-period among 196 surgical interventions and reprensenting 1,025%