Exploration of Digestive Diseases

From: Short bowel syndrome after near total enterectomy in an elderly patient: case report and review of the literature

Table 1. Timeline of the patient’s clinical course.

Date	Clinical event	Findings	Intervention
04.02.2024	Admission	Severe abdominal pain, leukocytosis, CRP: 21.0 mg/L, CT angiography showing SMA hypoperfusion	Diagnostic evaluation and resuscitation
05.02.2024	First emergency laparotomy	Extensive jejunoileal necrosis	Near total enterectomy and jejunoileal anastomosis
06.02.2024	Postoperative deterioration	CRP > 335 mg/L, elevated NLR	Clinical reassessment
06.02.2024	Second-look laparotomy	Ischemia involving the ileocecal region and the right colon	Extended right hemicolectomy and jejunostomy
Postoperative period	Intensive care	Intestinal failure and systemic inflammation	Total parenteral nutrition
6-month follow-up	Home care period	Recurrent infections and metabolic complications	Death

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CRP: C-reactive protein; CT: computed tomography; SMA: superior mesenteric artery; NLR: neutrophil-to-lymphocyte ratio.

Declarations

Author contributions

EY: Conceptualization, Visualization, Supervision, Investigation, Validation, Writing—original draft, Writing—review & editing. ASS: Investigation, Writing—original draft, Writing—review & editing. KK: Investigation, Writing—original draft, Writing—review & editing. CF: Investigation, Writing—original draft, Writing—review & editing. ANS: Investigation, Writing—original draft, Writing—review & editing. AS: Conceptualization, Supervision, Investigation, Writing—original draft, Writing—review & editing, Visualization. OO: Conceptualization, Supervision, Investigation, Writing—original draft, Writing—review & editing. HU: Conceptualization, Supervision, Investigation, Writing—original draft, Writing—review & editing. All authors read and approved the submitted version.

Conflicts of interest

There are no conflicts of interest.

Ethical approval

This case report was conducted in accordance with the World Medical Association Declaration of Helsinki. Institutional Review Board approval from the Istanbul Atlas University for Medical Sciences was not required for the publication of a single de-identified case report in accordance with institutional policy.

Consent to participate

Informed consent to participate in the study was obtained from the patient.

Consent to publication

Informed consent to publication was obtained from the relevant participant, including consent for publication of any accompanying images.

Availability of data and materials

The datasets used and/or analyzed during the current study are available from the corresponding author on a reasonable request.

Funding

Not applicable.

Copyright

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